Cities Index.
CC 12-16-2025 Searchable Packet.pdf

Cupertino City Council
December 16, 2025

Document
CC 12-16-2025 Searchable Packet.pdf
Meeting
December 16, 2025
Body
Cupertino City Council
Pages
71
Original file
99.0 MB
Text extracted from the city's file for reading and search. Open the original on cupertino.legistar.com. That file is the official record.

Evaluations: No Evaluations Found
Evaluation Action Summary:

Violations: No Violations Found
Facility Has Received Notices of Violations:

NAICS Description: All Other Waste Management Services
NAICS Code: 56299
List of NAICS Codes and Descriptions:

Electronic Manifest Broker: No
Non Storage Recycler Activity: No
Current Record: No
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Not a generator, verified Handler Name: AL ORTIZ
Receive Date: 20240221
AL ORTIZ (Continued) 1028900406
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EPA Waste Indicator: N
Consent Number: Not reported
Waste Minimization Code Description: Not reported
Waste Minimization Code: Not reported
Source Code Description: Not reported
Source Code: Not reported
Form Code Description: Not reported
Form Code: Not reported
Waste Density Unit of Measure Description: Not reported Waste Density Unit of Measure Code: Not reported
Waste Density: Not reported
Waste Type Discrepancy Indicator: N
Quantity Discrepancy Indicator: N
Waste Residue Indicator: N
Management Method Description: LANDFILL (WITH PRIOR TREATMENT AND/OR STABILIZATION) Management Method Code: H132
Non-Acute Waste Quantity, in Kilorgrams: 3809.526
Acute Waste Quantity, in Kilograms: 0
Waste Quantity, in Kilograms: 3809.526
Non-Acute Waste Quantity, in Tons: 4.2
Acute Waste Quantity, in Tons: 0
Waste Quantity, in Tons: 4.2
Quantity Unit of Measure Description: Cubic Yards
Quantity Unit of Measure Code: Y
Waste Quantity: 5
Container Type Description: Burlap, cloth, paper, or plastic bags Container Type Code: BA
Number of Containers: 50
Non-Hazardous Waste Description: Not reported
U.S. DOT Description: Rq, Na2212, Asbestos, 9, Pg Iii
U.S. DOT ID Number: NA2212
U.S. DOT Hazardous Indicator: Y
Waste Line Number: 1
Manifest Tracking Number: 018792887FLE
Waste Line:

Transporter Name: Advanced Chemical Transport Inc. Dba Actenviro Transporter EPA ID: CAR000070540
Transporter Line Number: 2
Manifest Tracking Number: 018792887FLE
Transporter Name: Eisen Environmental & Construction Services Transporter EPA ID: CAL000471705
Transporter Line Number: 1
Manifest Tracking Number: 018792887FLE
Transporter:

Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 94551
Designated Facility Location City: LIVERMORE
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: ALTAMONT PASS RD Designated Facility Location Street Number: 10840
AL ORTIZ (Continued) 1028900406
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State Waste Codes: CA-151
Quantity Non Haz Tons: 4.2
Quantity Non Haz Kg: 3809.526
Quantity Haz Tons: Not reported
Quantity Haz Kg: Not reported
Federal Waste Codes: Not reported
AL ORTIZ (Continued) 1028900406
Affiliation State: CA
Affiliation City: CUPERTINO
Affiliation Address: 10055 MILLER AV
Entity Title: Not reported
Entity Name: LEE OMS PERIO
Affiliation Type Desc: Legal Owner
Affiliation Phone: (408) 918-3400,
Affiliation Zip: 95112-2716
Affiliation Country: Not reported
Affiliation State: CA
Affiliation City: San Jose
Affiliation Address: 1555 Berger Drive, Suite 300
Entity Title: Not reported
Entity Name: Santa Clara County Environmental Health
Affiliation Type Desc: CUPA District
Affiliation Phone: ,
Affiliation Zip: 95014
Affiliation Country: Not reported
Affiliation State: CA
Affiliation City: CUPERTINO
Affiliation Address: 10055 MILLER AV
Entity Title: Not reported
Entity Name: Mailing Address
Affiliation Type Desc: Facility Mailing Address
Affiliation Phone: ,
Affiliation Zip: 95014
Affiliation Country: Not reported
Affiliation State: CA
Affiliation City: Cupertino
Affiliation Address: 10055 Miller Ave. #105
Entity Title: Not reported
Entity Name: Stacey Lee
Affiliation Type Desc: Environmental Contact
Affiliation:

CERS Description: Hazardous Waste Generator
CERS ID: 10343776
Site ID: 118309
City,State,Zip: CUPERTINO, CA 95014
Address: 10055 MILLER AV
Name: FUJIMOTO&LEE ORAL&MAXILLOFACIA
CERS HAZ WASTE:
180 ft. Site 25 of 31 in cluster A

0.034 mi.

Relative:

Lower
Actual:
198 ft.
< 1/8 CUPERTINO, CA 95014
ESE 10055 MILLER AV CUPA Listings N/A
A26 FUJIMOTO&LEE ORAL&MAXILLOFACIA S121468412 CERS HAZ WASTE TC07984167.2r Page 144
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Facility ID: FA0200569
Record ID: PR0317254
Longitude: -122.014376
Latitude: 37.322304
Program Identifier: DEH PERMIT-HAZ WASTE GENERATOR PROGRAM Program Description: SILVER WASTE ONLY <100 KG/YR
PE#: 2271
UDF Email: Not reported
Telephone: 4084465101
Region: SANTA CLARA
City,State,Zip: CUPERTINO, CA 95014
Address: 10055 MILLER AV
Name: FUJIMOTO&LEE ORAL&MAXILLOFACIA
CUPA SANTA CLARA:

Affiliation Phone: ,
Affiliation Zip: Not reported
Affiliation Country: Not reported
Affiliation State: Not reported
Affiliation City: Not reported
Affiliation Address: Not reported
Entity Title: Not reported
Entity Name: LEE OMS PERIO
Affiliation Type Desc: Parent Corporation
Affiliation Phone: (408) 446-5157,
Affiliation Zip: 95014
Affiliation Country: United States
FUJIMOTO&LEE ORAL&MAXILLOFACIA (Continued) S121468412
Violation Division: Santa Clara County Environmental Health container.
collecting sporox waste in a closed and labeled hazardous waste sanitary sewer system. Immediately cease all treatment and begin baths with baking soda before disposing of this mixture to the Violation Notes: Returned to compliance on 03/08/2017. Facility neutralizes Sporox Disposal/Unauthorized Treatment - General
Violation Description: Hazardous Waste Generator Program - Abandonment/Illegal Section(s) Multiple
Citation: HSC 6.5 Multiple - California Health and Safety Code, Chapter 6.5, Violation Date: 01-20-2017
Site Name: DRS LIN & LO DMD INC
Site ID: 112754
Violations:

CERS Description: Hazardous Waste Generator
CERS ID: 10343782
Site ID: 112754
City,State,Zip: CUPERTINO, CA 95014
Address: 10055 MILLER AV 102
Name: DRS LIN & LO DMD INC
CERS HAZ WASTE:
180 ft. Site 26 of 31 in cluster A

0.034 mi.

Relative:

Lower
Actual:
198 ft.
< 1/8 CUPERTINO, CA 95014
ESE 10055 MILLER AV 102 N/A
A27 DRS LIN & LO DMD INC CERS HAZ WASTE S121739285
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Affiliation:

Eval Source: CERS,
Eval Program: HW
Eval Division: Santa Clara County Environmental Health
when they dispose of this material, it [Truncated]
with lanolin that is no longer used. Ms. Yamamoto was advised that small business program. 2.) Facility has one bottle of orange solvent was given information on how to dispose of waste with the county’s adequate, and emergency posting is up-to-date. NOTES: 1.) Ms. Yamamoto x-ray. Fire extinguishers are annually serviced, spill kit is are mailed back annually to Solmatex. Facility only uses digital before expiration. Amalgam scrap, chair traps, and separator waster management regulations. First aid kits are exchanged with HealthFirst remover. Lidocaine is disposed of in accordance with medical waste scrubbing with water and facility does not use tartar and stain not dispense pharmaceuticals. Alginate trays are cleaned by hand enzymatic tables. Facility does not do any tooth whitening and does used for surface disinfecting and ultrasonic bath uses non-hazardous Eval Notes: Facility uses sporox cold sterile and steam autoclave. Birex spray is Eval Type: Routine done by local agency
Violations Found: Yes
Eval Date: 01-20-2017
Eval General Type: Compliance Evaluation Inspection
Evaluation:

Violation Source: CERS,
Violation Program: HW
Violation Division: Santa Clara County Environmental Health of inspection.
currently inactive. Ms. Yamamoto was given DTSC form 1358 at the time Violation Notes: Returned to compliance on 03/08/2017. EPA ID number CAL000143852 is hazardous waste.
disposing of, transporting or offering for transportation any Violation Description: Failure to obtain an Identification Number prior to treating, storing, 12, Section(s) 66262.12
Citation: 22 CCR 12 66262.12 - California Code of Regulations, Title 22, Chapter Violation Date: 01-20-2017
Site Name: DRS LIN & LO DMD INC
Site ID: 112754
Violation Source: CERS,
Violation Program: HW
Violation Division: Santa Clara County Environmental Health last hazardous waste report issued in 2011.

Violation Notes: Returned to compliance on 03/08/2017. Facility did not respond to the General
Violation Description: Hazardous Waste Generator Program - Administration/Documentation - Section(s) Multiple
Citation: HSC 6.5 Multiple - California Health and Safety Code, Chapter 6.5, Violation Date: 01-20-2017
Site Name: DRS LIN & LO DMD INC
Site ID: 112754
Violation Source: CERS,
Violation Program: HW
DRS LIN & LO DMD INC (Continued) S121739285
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Affiliation Phone: ,
Affiliation Zip: Not reported
Affiliation Country: Not reported
Affiliation State: Not reported
Affiliation City: Not reported
Affiliation Address: Not reported
Entity Title: Not reported
Entity Name: DRS LIN & LO DMD INC
Affiliation Type Desc: Parent Corporation
Affiliation Phone: ,
Affiliation Zip: 95014
Affiliation Country: Not reported
Affiliation State: CA
Affiliation City: CUPERTINO
Affiliation Address: 10055 MILLER AV #102
Entity Title: Not reported
Entity Name: Mailing Address
Affiliation Type Desc: Facility Mailing Address
Affiliation Phone: (408) 918-3400,
Affiliation Zip: 95112-2716
Affiliation Country: Not reported
Affiliation State: CA
Affiliation City: San Jose
Affiliation Address: 1555 Berger Drive, Suite 300
Entity Title: Not reported
Entity Name: Santa Clara County Environmental Health
Affiliation Type Desc: CUPA District
DRS LIN & LO DMD INC (Continued) S121739285
City,State,Zip: CUPERTINO, CA 95014
Address 2: Not reported
Address: 10055 MILLER AVE.

Name: TINA GAO
HWTS:

Facility ID: FA0200570
Record ID: PR0317981
Longitude: -122.014376
Latitude: 37.322304
Program Identifier: DEH PERMIT-HAZ WASTE GENERATOR PROGRAM Program Description: GENERATES <100 KG/YR OR USED OIL ONLY PE#: 2202
UDF Email: Not reported
Telephone: 4082523876
Region: SANTA CLARA
City,State,Zip: CUPERTINO, CA 95014
Address: 10055 MILLER AV 101
Name: DRS LIN & LO DMD INC
CUPA SANTA CLARA:
180 ft. Site 27 of 31 in cluster A

0.034 mi.

Relative:

Lower
Actual:
198 ft.
< 1/8 CUPERTINO, CA 95014 HAZNET
ESE 10055 MILLER AV 101 HWTS N/A
A28 DRS LIN & LO DMD INC CUPA Listings S104582622
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Tons: 0.46
Landfill( To Include On-Site Treatment And/Or Stabilization) Disposal Method: H132 - Landfill Or Surface Impoundment That Will Be Closed As CA Waste Code: 151 - Asbestos containing waste
TSD EPA ID: CAD981382732
Gepaid: CAC002888584
Year: 2016
Mailing Address: 10055 MILLER AVE.

Mailing Name: Not reported
Telephone: 6502079668
Contact: TINA GAO
City,State,Zip: CUPERTINO, CA 95014
Address 2: Not reported
Address: 10055 MILLER AVE.

Name: TINA GAO
HAZNET:

Longitude: 180
Latitude: -90
Category: STATE
Facility Type: TEMPORARY
Facility Status: Inactive
Contact Fax: Not reported
Contact Phone: Not reported
City,State,Zip: CUPERTINO, CA 95014
Contact Address 2: Not reported
Contact Address: 10055 MILLER AVE.

Contact Name: TINA GAO
Owner Fax: Not reported
Owner Phone: Not reported
Owner City,State,Zip: CUPERTINO, CA 95014
Owner Address 2: Not reported
Owner Address: 10055 MILLER AVE.

Owner Name: TINA GAO
Mailing City,State,Zip: CUPERTINO, CA 95014
Mailing Address 2: Not reported
Mailing Address: 10055 MILLER AVE.

Mailing Name: Not reported
Last Act Date: Not reported
Create Date: 12/06/2016
Inactive Date: 03/08/2017
EPA ID: CAC002888584
DRS LIN & LO DMD INC (Continued) S104582622
Telephone: 4082527827
Region: SANTA CLARA
City,State,Zip: CUPERTINO, CA 95014
Address: 10055 MILLER AV 101
Name: IA 072313CUPERTINO ORTHODONTIC CENTER
CUPA SANTA CLARA:
180 ft. Site 28 of 31 in cluster A

0.034 mi.

Relative:

Lower
Actual:
198 ft.
< 1/8 CUPERTINO, CA 95014
ESE 10055 MILLER AV 101 N/A
A29 IA 072313CUPERTINO ORTHODONTIC CENTER S121471757 CUPA Listings TC07984167.2r Page 148
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Facility ID: FA0251003
Record ID: PR0365033
Longitude: -122.014376
Latitude: 37.322304
Program Identifier: DEH PERMIT-HAZ WASTE GENERATOR PROGRAM Program Description: GENERATES <100 KG/YR OR USED OIL ONLY PE#: 2202
UDF Email: Not reported
IA 072313CUPERTINO ORTHODONTIC CENTER (Continued) S121471757 current report to address this violation.

Notice of Violation issued in 2011. Return original report with Violation Notes: Returned to compliance on 02/28/2017. Facility did not respond to the General
Violation Description: Hazardous Waste Generator Program - Administration/Documentation - Section(s) Multiple
Citation: HSC 6.5 Multiple - California Health and Safety Code, Chapter 6.5, Violation Date: 01-25-2017
Site Name: ANNE E MURRAY DDS
Site ID: 5972
Violations:

CERS Description: Chemical Storage Facilities
CERS ID: 10343785
Site ID: 5972
City,State,Zip: CUPERTINO, CA 95065
Address: 10055 MILLER AV 104
Name: ANNE E MURRAY DDS
CERS:

Facility ID: FA0200571
Record ID: PR0317980
Longitude: -122.014376
Latitude: 37.322304
Program Identifier: DEH PERMIT-HAZ WASTE GENERATOR PROGRAM Program Description: GENERATES <100 KG/YR OR USED OIL ONLY PE#: 2202
UDF Email: Not reported
Telephone: 4082535277
Region: SANTA CLARA
City,State,Zip: CUPERTINO, CA 95065
Address: 10055 MILLER AV 104
Name: ANNE E MURRAY DDS
CUPA SANTA CLARA:

CERS Description: Hazardous Waste Generator
CERS ID: 10343785
Site ID: 5972
City,State,Zip: CUPERTINO, CA 95065
Address: 10055 MILLER AV 104
Name: ANNE E MURRAY DDS
CERS HAZ WASTE:
180 ft. Site 29 of 31 in cluster A

0.034 mi.

Relative:

Lower
Actual:
198 ft.
< 1/8 CUPERTINO, CA 95065 CERS
ESE 10055 MILLER AV 104 CUPA Listings N/A
A30 ANNE E MURRAY DDS CERS HAZ WASTE S107147979
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aid kits before expiration with [Truncated]
reviewed). Facility does not dispense pharmaceuticals, exchanges first mailed back annually and lead bite wings are recycled (receipts cleaning uses patterson super concentrated stain remover. Amalgam is cleaning or tooth whitening. Tartar and stain removal and retainer expiration. Facility does not generate hazardous waste from tray spray and manages inventory closely so this material is used before disinfected with non-saturated wipes. Facility also uses disinfecting of approximately 10 according to inspector’s pH strips. Surfaces are future. Ultrasonic bath uses a general purpose cleaner that had a pH waste (receipts reviewed) but will begin neutralizing it in the and previously collected and disposed of this material as hazardous 2015 (receipt reveiwed). Facility uses cold sterile gluteraldehyde, from x-ray processing, and all x-ray waste was disposed of in may of Eval Notes: Facility no longer generates waste photographic fixer and developer Eval Type: Routine done by local agency
Violations Found: Yes
Eval Date: 01-25-2017
Eval General Type: Compliance Evaluation Inspection
Evaluation:

Violation Source: CERS,
Violation Program: HW
Violation Division: Santa Clara County Environmental Health adequately trained to recognize and manage hazardous waste.

Violation Notes: Returned to compliance on 02/28/2017. Facility personnel have not been responsibilities during normal facility operations and emergencies. proper waste handling and emergency procedures, relevant to their Violation Description: Failure to ensure that all employees are thoroughly familiar with 40, Chapter 1, Section(s) 262.34(d)(5)(iii)
Citation: 40 CFR 1 262.34(d)(5)(iii) - U.S. Code of Federal Regulations, Title Violation Date: 01-25-2017
Site Name: ANNE E MURRAY DDS
Site ID: 5972
Violation Source: CERS,
Violation Program: HW
Violation Division: Santa Clara County Environmental Health managed as hazardous waste.
below. Batches with a pH equal to or below 2, the liquid must be use a pH meter to test each batch to determine if the pH is 2 or inspector’s pH strips. Collect this material as a hazardous waste, or When tested, the material had a pH of approximately 2 according to the material to the drain (as noted in a repeat violation in 2011.) Concentrated Stain Remover for cleaning retainers, then disposes of Violation Notes: Returned to compliance on 02/28/2017. Facility dilutes Patterson Ultra generator knowledge or applying testing method.

Violation Description: Failure to determine if wastes generated are hazardous waste by using 12, Section(s) 66262.11
Citation: 22 CCR 12 66262.11 - California Code of Regulations, Title 22, Chapter Violation Date: 01-25-2017
Site Name: ANNE E MURRAY DDS
Site ID: 5972
Violation Source: CERS,
Violation Program: HW
Violation Division: Santa Clara County Environmental Health ANNE E MURRAY DDS (Continued) S107147979
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Entity Name: Anne E Murray
Affiliation Type Desc: Operator
Affiliation Phone: (408) 918-3400,
Affiliation Zip: 95112-2716
Affiliation Country: Not reported
Affiliation State: CA
Affiliation City: San Jose
Affiliation Address: 1555 Berger Drive, Suite 300
Entity Title: Not reported
Entity Name: Santa Clara County Environmental Health
Affiliation Type Desc: CUPA District
Affiliation Phone: (408) 253-5277,
Affiliation Zip: 95014
Affiliation Country: United States
Affiliation State: CA
Affiliation City: CUPERTINO
Affiliation Address: 10055 MILLER AV 104
Entity Title: Not reported
Entity Name: Anne E Murray, DDS
Affiliation Type Desc: Legal Owner
Affiliation Phone: ,
Affiliation Zip: 95065
Affiliation Country: Not reported
Affiliation State: CA
Affiliation City: CUPERTINO
Affiliation Address: 10055 MILLER AV 104
Entity Title: Not reported
Entity Name: Anne E Murray
Affiliation Type Desc: Environmental Contact
Affiliation Phone: ,
Affiliation Zip: Not reported
Affiliation Country: Not reported
Affiliation State: Not reported
Affiliation City: Not reported
Affiliation Address: Not reported
Entity Title: Not reported
Entity Name: ANNE E MURRAY DDS
Affiliation Type Desc: Parent Corporation
Affiliation Phone: ,
Affiliation Zip: 95065
Affiliation Country: Not reported
Affiliation State: CA
Affiliation City: CUPERTINO
Affiliation Address: 10055 MILLER AV 104
Entity Title: Not reported
Entity Name: Mailing Address
Affiliation Type Desc: Facility Mailing Address
Affiliation:

Eval Source: CERS,
Eval Program: HW
Eval Division: Santa Clara County Environmental Health
ANNE E MURRAY DDS (Continued) S107147979
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Affiliation Phone: (408) 253-5277,
Affiliation Zip: Not reported
Affiliation Country: Not reported
Affiliation State: Not reported
Affiliation City: Not reported
Affiliation Address: Not reported
Entity Title: Not reported
ANNE E MURRAY DDS (Continued) S107147979
Federal Facility Indicator: Not reported
Active Site State-Reg Handler: ---
Federal Universal Waste: No
Universal Waste Destination Facility: Yes
Universal Waste Indicator: Yes
Off-Site Waste Receipt: No
Underground Injection Control: No
Smelting Melting and Refining Furnace Exemption: No
Small Quantity On-Site Burner Exemption: No
Recycler Activity with Storage: No
Transfer Facility Activity: No
Transporter Activity: No
Mixed Waste Generator: No
Importer Activity: No
Short-Term Generator Activity: No
Operator Type: Other
Operator Name: Anne E Murray
Owner Type: Other
Owner Name: Anne E Murray
Mailing City,State,Zip: CUPERTINO, CA 95014-0000
Mailing Address: 10055 MILLER AVE STE 104
State District: Not reported
State District Owner: Not reported
Active Site Indicator: Handler Activities
Accessibility: Not reported
Biennial Report Cycle: Not reported
Non-Notifier: Not reported
Federal Waste Generator Description: Not a generator, verified Land Type: Not reported
EPA Region: 09
Contact Title: Not reported
Contact Email: [email protected]
Contact Fax: 408-253-6341
Contact Telephone: 408-253-5277
Contact City,State,Zip: CUPERTINO, CA 95014
Contact Address: 10055 MILLER AVE STE 104
Contact Name: ANNE E MURRAY
EPA ID: CAL000258150
Handler City,State,Zip: CUPERTINO, CA 95014
Handler Address: 10055 Miller Ave Ste 104
Handler Name: Anne E Murray, Dds
Date Form Received by Agency: 20020823
RCRA Listings:
180 ft. Site 30 of 31 in cluster A

0.034 mi.

Relative:

Lower
Actual:
198 ft.
< 1/8 CUPERTINO, CA 95014
ESE 10055 MILLER AVE STE 104 CAL000258150
A31 ANNE E MURRAY, DDS RCRA NonGen / NLR 1024804430
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Federal Waste Generator Description: Not a generator, verified Handler Name: ANNE E MURRAY, DDS
Receive Date: 20020823
Historic Generators:

Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 408-253-5277
Owner/Operator City,State,Zip: CUPERTINO, CA 95014-0000 Owner/Operator Address: 10055 MILLER AVE STE 104
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: ANNE E MURRAY
Owner/Operator Indicator: Owner
Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 408-253-5277
Owner/Operator City,State,Zip: CUPERTINO, CA 95014
Owner/Operator Address: 10055 MILLER AVE STE 104
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: ANNE E MURRAY
Owner/Operator Indicator: Operator
Handler - Owner Operator:

Sub-Part P Indicator: No
Manifest Broker: No
Recycler Activity Without Storage: No
Exporter of Spent Lead Acid Batteries: No
Importer of Spent Lead Acid Batteries: No
Recognized Trader-Exporter: No
Recognized Trader-Importer: No
Handler Date of Last Change: 20180905
Financial Assurance Required: Not reported
Significant Non-Complier With a Compliance Schedule Universe: No Addressed Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Significant Non-Complier Universe: No
Groundwater Controls Indicator: N/A
Human Exposure Controls Indicator: N/A
Institutional Control Indicator: No
Environmental Control Indicator: No
Corrective Action Priority Ranking: No NCAPS ranking
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Subject to Corrective Action Universe: No
202 GPRA Corrective Action Baseline: No
2018 GPRA Renewals Baseline: Not on the Baseline
2018 GPRA Permit Baseline: Not on the Baseline
Sub-Part K Indicator: Not reported
Hazardous Secondary Material Indicator: N
ANNE E MURRAY, DDS (Continued) 1024804430
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Evaluations: No Evaluations Found
Evaluation Action Summary:

Violations: No Violations Found
Facility Has Received Notices of Violations:

NAICS Description: Offices Of Dentists
NAICS Code: 62121
List of NAICS Codes and Descriptions:

Electronic Manifest Broker: Not reported
Non Storage Recycler Activity: Not reported
Current Record: Yes
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
ANNE E MURRAY, DDS (Continued) 1024804430
Short-Term Generator Activity: No
Operator Type: Other
Operator Name: Stacey Lee
Owner Type: Other
Owner Name: Stacey A Lee A Dental Corp
Mailing City,State,Zip: CUPERTINO, CA 95014
Mailing Address: 10055 MILLER AVE #105
State District: Not reported
State District Owner: Not reported
Active Site Indicator: Not reported
Accessibility: Not reported
Biennial Report Cycle: Not reported
Non-Notifier: Not reported
Federal Waste Generator Description: Not a generator, verified Land Type: Not reported
EPA Region: 09
Contact Title: Not reported
Contact Email: [email protected]
Contact Fax: Not reported
Contact Telephone: 408-446-5101
Contact City,State,Zip: CUPERTINO, CA 95014
Contact Address: 10055 MILLER AVE #105
Contact Name: STACEY LEE
EPA ID: CAL000489828
Handler City,State,Zip: CUPERTINO, CA 95014
Handler Address: 10055 Miller Ave #105
Handler Name: Stacey A Lee A Dental Corp
Date Form Received by Agency: 20241107
RCRA Listings:
180 ft. Site 31 of 31 in cluster A

0.034 mi.

Relative:

Lower
Actual:
198 ft.
< 1/8 CUPERTINO, CA 95014
ESE 10055 MILLER AVE #105 CAL000489828
A32 STACEY A LEE A DENTAL CORP RCRA NonGen / NLR 1031483208 TC07984167.2r Page 154
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Elevation Site Database(s) EPA ID Number
Legal Status: Other
Owner/Operator Name: STACEY A LEE A DENTAL CORP
Owner/Operator Indicator: Owner
Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 408-446-5101
Owner/Operator City,State,Zip: CUPERTINO, CA 95014
Owner/Operator Address: 10055 MILLER AVE #105
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: STACEY LEE
Owner/Operator Indicator: Operator
Handler - Owner Operator:

Sub-Part P Indicator: No
Manifest Broker: No
Recycler Activity Without Storage: No
Exporter of Spent Lead Acid Batteries: No
Importer of Spent Lead Acid Batteries: No
Recognized Trader-Exporter: No
Recognized Trader-Importer: No
Handler Date of Last Change: 20241109
Financial Assurance Required: Not reported
Significant Non-Complier With a Compliance Schedule Universe: No Addressed Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Significant Non-Complier Universe: No
Groundwater Controls Indicator: N/A
Human Exposure Controls Indicator: N/A
Institutional Control Indicator: No
Environmental Control Indicator: No
Corrective Action Priority Ranking: No NCAPS ranking
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Subject to Corrective Action Universe: No
202 GPRA Corrective Action Baseline: No
2018 GPRA Renewals Baseline: Not on the Baseline
2018 GPRA Permit Baseline: Not on the Baseline
Sub-Part K Indicator: Not reported
Hazardous Secondary Material Indicator: N
Federal Facility Indicator: Not reported
Active Site State-Reg Handler: ---
Federal Universal Waste: No
Universal Waste Destination Facility: No
Universal Waste Indicator: No
Off-Site Waste Receipt: No
Underground Injection Control: No
Smelting Melting and Refining Furnace Exemption: No
Small Quantity On-Site Burner Exemption: No
Recycler Activity with Storage: No
Transfer Facility Activity: No
Transporter Activity: No
Mixed Waste Generator: No
Importer Activity: No
STACEY A LEE A DENTAL CORP (Continued) 1031483208
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Evaluations: No Evaluations Found
Evaluation Action Summary:

Violations: No Violations Found
Facility Has Received Notices of Violations:

NAICS Description: Offices Of Dentists
NAICS Code: 621210
List of NAICS Codes and Descriptions:

Electronic Manifest Broker: No
Non Storage Recycler Activity: No
Current Record: Yes
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Not a generator, verified Handler Name: STACEY A LEE A DENTAL CORP
Receive Date: 20241107
Historic Generators:

Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 415-564-6800
Owner/Operator City,State,Zip: SAN FRANCISCO, CA 94116
Owner/Operator Address: 348 TARAVAL ST
Date Ended Current: Not reported
Date Became Current: Not reported
STACEY A LEE A DENTAL CORP (Continued) 1031483208
Facility ID: FA0259476
Record ID: PR0381144
Longitude: -122.01811
Latitude: 37.322701
Program Identifier: DEH PERMIT-HAZ WASTE GENERATOR PROGRAM Program Description: GENERATES < 10 GAL/YR
PE#: 2240
UDF Email: Not reported
Telephone: 4082578838
Region: SANTA CLARA
City,State,Zip: CUPERTINO, CA 95014
Address: 19668 STEVENS CREEK BL
Name: FAMILY & COSMETIC DENTISTRY
CUPA SANTA CLARA:
200 ft. Site 1 of 7 in cluster C

0.038 mi.

Relative:

Higher
Actual:
200 ft.
< 1/8 CUPERTINO, CA 95014
West 19668 STEVENS CREEK BL N/A
C33 FAMILY & COSMETIC DENTISTRY CUPA Listings S121473564 TC07984167.2r Page 156
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Institutional Control Indicator: No
Environmental Control Indicator: No
Corrective Action Priority Ranking: No NCAPS ranking
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Subject to Corrective Action Universe: No
202 GPRA Corrective Action Baseline: No
2018 GPRA Renewals Baseline: Not on the Baseline
2018 GPRA Permit Baseline: Not on the Baseline
Sub-Part K Indicator: Not reported
Hazardous Secondary Material Indicator: N
Federal Facility Indicator: Not reported
Active Site State-Reg Handler: ---
Federal Universal Waste: No
Universal Waste Destination Facility: No
Universal Waste Indicator: No
Off-Site Waste Receipt: No
Underground Injection Control: No
Smelting Melting and Refining Furnace Exemption: No
Small Quantity On-Site Burner Exemption: No
Recycler Activity with Storage: No
Transfer Facility Activity: No
Transporter Activity: No
Mixed Waste Generator: No
Importer Activity: No
Short-Term Generator Activity: No
Operator Type: Other
Operator Name: Kate Kodet
Owner Type: Other
Owner Name: Fusion Education Group
Mailing City,State,Zip: CUPERTINO, CA 95014
Mailing Address: 19638 STEVENS CREEK BLVD STE 230
State District: Not reported
State District Owner: Not reported
Active Site Indicator: Not reported
Accessibility: Not reported
Biennial Report Cycle: Not reported
Non-Notifier: Not reported
Federal Waste Generator Description: Not a generator, verified Land Type: Not reported
EPA Region: 09
Contact Title: Not reported
Contact Email: [email protected]
Contact Fax: Not reported
Contact Telephone: 860-573-3726
Contact City,State,Zip: RESEDA, CA 91335
Contact Address: 7940 N KEER DR
Contact Name: KATE KODET
EPA ID: CAL000480892
Handler City,State,Zip: CUPERTINO, CA 95014
Handler Address: 19638 Stevens Creek Blvd Ste 230
Handler Name: Fusion Academy Cupertino
Date Form Received by Agency: 20231005
RCRA Listings:
200 ft. Site 2 of 7 in cluster C

0.038 mi.

Relative:

Higher
Actual:
200 ft.
< 1/8 CUPERTINO, CA 95014
West 19638 STEVENS CREEK BLVD STE 230 CAL000480892
C34 FUSION ACADEMY CUPERTINO RCRA NonGen / NLR 1028903211 TC07984167.2r Page 157
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Electronic Manifest Broker: No
Non Storage Recycler Activity: No
Current Record: Yes
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Not a generator, verified Handler Name: FUSION ACADEMY CUPERTINO
Receive Date: 20231005
Historic Generators:

Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 616-301-1221
Owner/Operator City,State,Zip: GRAND RAPIDS, MI 49503
Owner/Operator Address: 72 MONROE CENTER NW STE B
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: FUSION EDUCATION GROUP
Owner/Operator Indicator: Owner
Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 860-573-3726
Owner/Operator City,State,Zip: RESEDA, CA 91335
Owner/Operator Address: 7940 N KEER DR
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: KATE KODET
Owner/Operator Indicator: Operator
Handler - Owner Operator:

Sub-Part P Indicator: No
Manifest Broker: No
Recycler Activity Without Storage: No
Exporter of Spent Lead Acid Batteries: No
Importer of Spent Lead Acid Batteries: No
Recognized Trader-Exporter: No
Recognized Trader-Importer: No
Handler Date of Last Change: 20231006
Financial Assurance Required: Not reported
Significant Non-Complier With a Compliance Schedule Universe: No Addressed Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Significant Non-Complier Universe: No
Groundwater Controls Indicator: N/A
Human Exposure Controls Indicator: N/A
FUSION ACADEMY CUPERTINO (Continued) 1028903211
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Evaluations: No Evaluations Found
Evaluation Action Summary:

Violations: No Violations Found
Facility Has Received Notices of Violations:

NAICS Description: Colleges, Universities, And Professional Schools NAICS Code: 611310
List of NAICS Codes and Descriptions:

FUSION ACADEMY CUPERTINO (Continued) 1028903211
Universal Waste Indicator: No
Off-Site Waste Receipt: No
Underground Injection Control: No
Smelting Melting and Refining Furnace Exemption: No
Small Quantity On-Site Burner Exemption: No
Recycler Activity with Storage: No
Transfer Facility Activity: No
Transporter Activity: No
Mixed Waste Generator: No
Importer Activity: No
Short-Term Generator Activity: No
Operator Type: Other
Operator Name: Pat Schaff
Owner Type: Other
Owner Name: Pat Schaff
Mailing City,State,Zip: CUPERTINO, CA 95014
Mailing Address: 10142 EAST ESTATES DRIVE
State District: Not reported
State District Owner: Not reported
Active Site Indicator: Not reported
Accessibility: Not reported
Biennial Report Cycle: Not reported
Non-Notifier: Not reported
Federal Waste Generator Description: Not a generator, verified Land Type: Not reported
EPA Region: 09
Contact Title: Not reported
Contact Email: [email protected]
Contact Fax: Not reported
Contact Telephone: 408-529-3374
Contact City,State,Zip: CUPERTINO, CA 95014
Contact Address: 10142 EAST ESTATES DRIVE
Contact Name: PAT SCHAFF
EPA ID: CAC003207317
Handler City,State,Zip: CUPERTINO, CA 95014
Handler Address: 10142 East Estates Drive
Handler Name: 10142 East Estates Drive
Date Form Received by Agency: 20221207
RCRA Listings:
212 ft. Site 2 of 2 in cluster B

0.040 mi.

Relative:

Higher
Actual:
203 ft.
< 1/8 CUPERTINO, CA 95014
SSE 10142 EAST ESTATES DRIVE E MANIFEST CAC003207317
B35 10142 EAST ESTATES DRIVE RCRA NonGen / NLR 1027515461 TC07984167.2r Page 159
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Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 408-529-3374
Owner/Operator City,State,Zip: CUPERTINO, CA 95014
Owner/Operator Address: 10142 EAST ESTATES DRIVE
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: PAT SCHAFF
Owner/Operator Indicator: Owner
Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 408-529-3374
Owner/Operator City,State,Zip: CUPERTINO, CA 95014
Owner/Operator Address: 10142 EAST ESTATES DRIVE
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: PAT SCHAFF
Owner/Operator Indicator: Operator
Handler - Owner Operator:

Sub-Part P Indicator: No
Manifest Broker: No
Recycler Activity Without Storage: No
Exporter of Spent Lead Acid Batteries: No
Importer of Spent Lead Acid Batteries: No
Recognized Trader-Exporter: No
Recognized Trader-Importer: No
Handler Date of Last Change: 20241212
Financial Assurance Required: Not reported
Significant Non-Complier With a Compliance Schedule Universe: No Addressed Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Significant Non-Complier Universe: No
Groundwater Controls Indicator: N/A
Human Exposure Controls Indicator: N/A
Institutional Control Indicator: No
Environmental Control Indicator: No
Corrective Action Priority Ranking: No NCAPS ranking
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Subject to Corrective Action Universe: No
202 GPRA Corrective Action Baseline: No
2018 GPRA Renewals Baseline: Not on the Baseline
2018 GPRA Permit Baseline: Not on the Baseline
Sub-Part K Indicator: Not reported
Hazardous Secondary Material Indicator: N
Federal Facility Indicator: Not reported
Active Site State-Reg Handler: ---
Federal Universal Waste: No
Universal Waste Destination Facility: No
10142 EAST ESTATES DRIVE (Continued) 1027515461
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Designated Facility Mail Zip: 94551
Designated Facility Mail City: LIVERMORE
Designated Facility Mail Street 2: ALTAMONT PASS RD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 10840
Designated Facility Name: Altamont Landfill & Resource Recovery Facility Designated Facility EPA ID: CAD981382732
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 95014
Generator Mail City: CUPERTINO
Generator Mail Street 2: Not reported
Generator Mail Street 1: 10142 EAST ESTATES DRIVE
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10142 EAST ESTATES DRIVE
Generator Location Street Number: Not reported
Generator Name: Pat Schaff
Generator EPA ID: CAC003207317
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20221208
Shipped Date: 20221207
Last Updated Date: 20221222
Manifest Tracking Number: 023607244JJK
E MANIFEST:

Evaluations: No Evaluations Found
Evaluation Action Summary:

Violations: No Violations Found
Facility Has Received Notices of Violations:

NAICS Description: All Other Waste Management Services
NAICS Code: 56299
List of NAICS Codes and Descriptions:

Electronic Manifest Broker: No
Non Storage Recycler Activity: No
Current Record: Yes
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Not a generator, verified Handler Name: 10142 EAST ESTATES DRIVE
Receive Date: 20221207
Historic Generators:
10142 EAST ESTATES DRIVE (Continued) 1027515461
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Elevation Site Database(s) EPA ID Number
Consent Number: Not reported
Waste Minimization Code Description: Not reported
Waste Minimization Code: Not reported
Source Code Description: Not reported
Source Code: Not reported
Form Code Description: Not reported
Form Code: Not reported
Waste Density Unit of Measure Description: Not reported Waste Density Unit of Measure Code: Not reported
Waste Density: Not reported
Waste Type Discrepancy Indicator: N
Quantity Discrepancy Indicator: N
Waste Residue Indicator: N
Management Method Description: LANDFILL (WITH PRIOR TREATMENT AND/OR STABILIZATION) Management Method Code: H132
Non-Acute Waste Quantity, in Kilorgrams: 761.9052
Acute Waste Quantity, in Kilograms: 0
Waste Quantity, in Kilograms: 761.9052
Non-Acute Waste Quantity, in Tons: 0.84
Acute Waste Quantity, in Tons: 0
Waste Quantity, in Tons: 0.84
Quantity Unit of Measure Description: Cubic Yards
Quantity Unit of Measure Code: Y
Waste Quantity: 1
Container Type Description: Burlap, cloth, paper, or plastic bags Container Type Code: BA
Number of Containers: 7
Non-Hazardous Waste Description: Not reported
U.S. DOT Description: Rq, Na2212, Asbestos, 9, Pg Iii
U.S. DOT ID Number: NA2212
U.S. DOT Hazardous Indicator: Y
Waste Line Number: 1
Manifest Tracking Number: 023607244JJK
Waste Line:

Transporter Name: Advanced Chemical Transport Inc. Dba Actenviro Transporter EPA ID: CAR000070540
Transporter Line Number: 2
Manifest Tracking Number: 023607244JJK
Transporter Name: Synergy Ee Inc
Transporter EPA ID: CAL000438487
Transporter Line Number: 1
Manifest Tracking Number: 023607244JJK
Transporter:

Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 94551
Designated Facility Location City: LIVERMORE
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: ALTAMONT PASS RD Designated Facility Location Street Number: 10840
Designated Facility Mail State: CA
10142 EAST ESTATES DRIVE (Continued) 1027515461
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State Waste Codes: CA-151
Quantity Non Haz Tons: 0.84
Quantity Non Haz Kg: 761.9052
Quantity Haz Tons: 0
Quantity Haz Kg: 0
Federal Waste Codes: Not reported
EPA Waste Indicator: N
10142 EAST ESTATES DRIVE (Continued) 1027515461
Site History: Not reported
Claim Status: Active
Claim Number: 5046
RWQCB Region: SAN FRANCISCO BAY RWQCB (REGION 2)
Facility Project Subtype: Not reported
Military DOD Site: No
CA Enviroscreen 4 Score: 15-20%
CA Enviroscreen 3 Score: 16-20%
Disadvantaged Community: Not reported
Dwr Groundwater Subbasin Name: Santa Clara Valley - Santa Clara (2-009.02) CA Water Watershed Name: Santa Clara - Palo Alto (205.50) No Further Action Date: 09/30/1994
Stop Description: Not reported
Stop Method: Not reported
Discharge Cause: Not reported
Discharge Source: Not reported
How Discovered Description: Not reported
How Discovered: Not reported
Leak Reported Date: 07/27/1987
Begin Date: 07/27/1987
Quantity Released Gallons: Not reported
Coordinate Source: Google Map Move
EPA Region: 9
Potential Contaminants of Concern: Gasoline
Potential Media Affect: Soil
Local Case Number: Not reported
File Location: All Files are on GeoTracker or in the Local Agency Database Local Agency: SANTA CLARA COUNTY LOP
RB Case Number: Not reported
Case Worker: DEH
Status Date: 09/30/1994
Status: Completed - Case Closed
Longitude: -122.01375246048
Latitude: 37.3226322773396
Global Id: T0608501269
Geo Track:

Case Type: LUST Cleanup Site
Lead Agency: SANTA CLARA COUNTY LOP
City,State,Zip: CUPERTINO, CA 95014
Address: 19480 STEVENS CREEK BLVD
Name: SHELL
LUST:
409 ft. Site 1 of 7 in cluster D CERS

0.077 mi. HIST CORTESE
Relative:

Lower
Actual:
196 ft.
< 1/8 CUPERTINO, CA 95014 Cortese
East 19480 STEVENS CREEK BLVD HIST LUST N/A
D36 SHELL LUST S103983040
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Elevation Site Database(s) EPA ID Number
Status: Open - Site Assessment
Global Id: T0608501269
Status Date: 12/20/1989
Status: Open - Site Assessment
Global Id: T0608501269
Status Date: 07/27/1987
Status: Open - Case Begin Date
Global Id: T0608501269
LUST:

Action: Other Report / Document
Date: 09/14/1994
Action Type: RESPONSE
Global Id: T0608501269
Action: Closure/No Further Action Letter
Date: 09/30/1994
Action Type: ENFORCEMENT
Global Id: T0608501269
Action: Leak Reported
Date: 07/27/1987
Action Type: Other
Global Id: T0608501269
Action: Notice of Responsibility - #39596
Date: 02/20/1991
Action Type: ENFORCEMENT
Global Id: T0608501269
Action: Excavation
Date: 02/18/1992
Action Type: REMEDIATION
Global Id: T0608501269
LUST:

Phone Number: Not reported
Email: Not reported
City: OAKLAND
Address: 1515 CLAY ST SUITE 1400
Organization Name: SAN FRANCISCO BAY RWQCB (REGION 2)
Contact Name: Regional Water Board
Contact Type: Regional Board Caseworker
Global Id: T0608501269
Phone Number: 4089183400
Email: [email protected]
City: SAN JOSE
Address: 1555 Berger Drive, Suite 300
Organization Name: SANTA CLARA COUNTY LOP
Contact Name: DEH CASEWORKER
Contact Type: Local Agency Caseworker - Primary Caseworker Global Id: T0608501269
LUST:

SHELL (Continued) S103983040
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Flag: active
Swat R: Not reported
Enf Type: Not reported
Owner: Not reported
Longitude: Not reported
Latitude: Not reported
Site Code: Not reported
Status Date: Not reported
Cleanup Status: COMPLETED - CASE CLOSED
Site/Facility Type: LUST CLEANUP SITE
Global ID: T0608501269
Envirostor Id: Not reported
Region: CORTESE
City,State,Zip: CUPERTINO, CA 95014
Address: 19480 STEVENS CREEK BLVD
Name: SHELL
CORTESE:

Closed Date: 1994-09-30 00:00:00
Date Listed: 1988-01-01 00:00:00
Oversite Agency: SCVWD
SCVWD ID: 07S1W18F02
Region Code: 2
Region: SANTA CLARA
City: Cupertino
Address: 19480 Stevens Creek Blvd
Name: Shell
HIST LUST SC:

Date Post Remedial Action Monitoring Began: 8/25/1992
Date Remediation Action Underway: Not reported
Pollution Remediation Plan Submitted: Not reported
Pollution Characterization Began: 3/30/1990
Preliminary Site Assesment Began: 12/20/1989
Prelim. Site Assesment Wokplan Submitted: Not reported
Oversight Program: LUST
Date Leak Confirmed: Not reported
Leak Source: Not reported
Leak Cause: Not reported
How Discovered: Not reported
Case Number: 07S1W18F02f
Facility Status: Case Closed
Facility Id: Not reported
Region: 2
LUST REG 2:

Status Date: 09/30/1994
Status: Completed - Case Closed
Global Id: T0608501269
Status Date: 08/25/1992
Status: Open - Verification Monitoring
Global Id: T0608501269
Status Date: 03/30/1990
SHELL (Continued) S103983040
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Affiliation Phone: ,
Affiliation Zip: Not reported
Affiliation Country: Not reported
Affiliation State: CA
Affiliation City: OAKLAND
Affiliation Address: 1515 CLAY ST SUITE 1400
Entity Title: Not reported
Entity Name: Regional Water Board - SAN FRANCISCO BAY RWQCB (REGION 2) Affiliation Type Desc: Regional Board Caseworker
Affiliation Phone: 4089183400,
Affiliation Zip: Not reported
Affiliation Country: Not reported
Affiliation State: CA
Affiliation City: SAN JOSE
Affiliation Address: 1555 Berger Drive, Suite 300
Entity Title: Not reported
Entity Name: DEH CASEWORKER - SANTA CLARA COUNTY LOP
Affiliation Type Desc: Local Agency Caseworker
Affiliation:

CERS Description: Leaking Underground Storage Tank Cleanup Site CERS ID: T0608501269
Site ID: 882822
City,State,Zip: CUPERTINO, CA 95014
Address: 19480 STEVENS CREEK BLVD
Name: SHELL
CERS:

Reg Id: 43-1291
Reg By: LTNKA
Facility County Code: 43
Region: CORTESE
City,State,Zip: CUPERTINO, CA
edr_fadd1: 19480 STEVENS CREEK
edr_fname: SHELL
HIST CORTESE:

File Name: Active Open
Waste Management Uit Name: Not reported
Solid Waste Id No: Not reported
WID Id: Not reported
Region 2: Not reported
Effective Date: Not reported
Waste Discharge System No: Not reported
Order No: Not reported
SHELL (Continued) S103983040
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1990 VALLCO FOOD MART Convenience Stores
1989 VALLCO FOOD MART Convenience Stores
1988 VALLCO FOOD MART Grocery Stores
1983 SHELL AUTOMOTIVE Gasoline Service Stations
1982 SHELL AUTOMOTIVE Gasoline Service Stations
1980 SHELL AUTOMOTIVE Gasoline Service Stations
1979 SHELL AUTOMOTIVE Gasoline Service Stations
1978 SHELL AUTOMOTIVE Gasoline Service Stations
1977 SHELL AUTOMOTIVE Gasoline Service Stations
1976 SHELL AUTOMOTIVE Gasoline Service Stations
1970 BUSHMAN GERALD R Gasoline Service Stations
1969 BUSHMAN GERALD R Gasoline Service Stations
Year: Name: Type:

EDR Hist Auto
409 ft. Site 2 of 7 in cluster D

0.077 mi.

Relative:

Lower
Actual:
196 ft.
< 1/8 CUPERTINO, CA 95014
East 19480 STEVENS CK BD N/A
D37 SHELL AUTOMOTIVE EDR Hist Auto 1020331003
EPAID: Not reported
Property Owner Country: Not reported
Property Owner Zip Code: Not reported
Property Owner Stat : Not reported
Property Owner City: Not reported
Property Owner Mailing Address: Not reported
Property Owner Phone: Not reported
Property Owner Name: Not reported
Owner Country: Not reported
Owner Zip Code: Not reported
Owner State: Not reported
Owner Mail Address: Not reported
Owner Phone: Not reported
Operator Phone: Not reported
Operator Name: Not reported
Mailing Address Zip Code: Not reported
Mailing Address State: Not reported
Mailing Address City: Not reported
Mailing Address: Not reported
Fax: Not reported
Phone: Not reported
Business Name: Not reported
Facility ID: Not reported
CERSID: Not reported
Total Gallons: 4,800
Owner: JIFFY-LUBE
Certified Unified Program Agencies: Santa Clara County
City/Zip: CUPERTINO,
Address: 19480 STEVENS CREEK
Name: JIFFY-LUBE
AST:
409 ft. Site 3 of 7 in cluster D

0.077 mi.

Relative:

Lower
Actual:
196 ft.
< 1/8 CUPERTINO, CA
East 19480 STEVENS CREEK N/A
D38 JIFFY-LUBE AST A100338700
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SWRCB Tank Id: 43-012-009161-000003
Owner Tank Id: Not reported
Created Date: Not reported
Action Date: Not reported
Referral Date: Not reported
Board Of Equalization: 44-026410
Number: Not reported
Comp Number: 9161
Status: Not reported
City: CUPERTINO
Address: 19480 STEVENS CREEK BLVD
Name: ALLAN DOMASH
Number Of Tanks: Not reported
Content: REG UNLEADED
STG: PRODUCT
Tank Use: M.V. FUEL
Active Date: Not reported
Capacity: 6000
Tank Status: Not reported
SWRCB Tank Id: 43-012-009161-000002
Owner Tank Id: Not reported
Created Date: Not reported
Action Date: Not reported
Referral Date: Not reported
Board Of Equalization: 44-026410
Number: Not reported
Comp Number: 9161
Status: Not reported
City: CUPERTINO
Address: 19480 STEVENS CREEK BLVD
Name: ALLAN DOMASH
Number Of Tanks: 4
Content: LEADED
STG: PRODUCT
Tank Use: M.V. FUEL
Active Date: Not reported
Capacity: 6000
Tank Status: Not reported
SWRCB Tank Id: 43-012-009161-000001
Owner Tank Id: Not reported
Created Date: Not reported
Action Date: Not reported
Referral Date: Not reported
Board Of Equalization: 44-026410
Number: Not reported
Comp Number: 9161
Status: Not reported
City: CUPERTINO
Address: 19480 STEVENS CREEK BLVD
Name: ALLAN DOMASH
SWEEPS UST:
409 ft. Site 4 of 7 in cluster D

0.077 mi.

Relative:

Lower
Actual:
196 ft.
< 1/8 CUPERTINO, CA 95014
East 19480 STEVENS CREEK HIST UST N/A
D39 ALLAN DOMASH SWEEPS UST U001600976
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Container Num: 2
Tank Num: 002
Leak Detection: Stock Inventor, 10
Container Construction Thickness: 1/4
Type of Fuel: REGULAR
Tank Used for: PRODUCT
Tank Capacity: 00006000
Year Installed: 1972
Container Num: 1
Tank Num: 001
Total Tanks: 0004
Owner City,St,Zip: ANAHEIM, CA 92803
Owner Address: P.O. BOX 4848
Owner Name: SHELL OIL COMPANY
Telephone: 4082530555
Contact Name: Not reported
Other Type: Not reported
Facility Type: Gas Station
Facility ID: 00000009161
Region: STATE
URL:

File Number: 000208ba
City,State,Zip: CUPERTINO, CA 95014
Address: 19480 STEVENS CREEK
Name: ALLAN DOMASH
HIST UST:

Number Of Tanks: Not reported
Content: WASTE OIL
STG: WASTE
Tank Use: OIL
Active Date: Not reported
Capacity: 550
Tank Status: Not reported
SWRCB Tank Id: 43-012-009161-000004
Owner Tank Id: Not reported
Created Date: Not reported
Action Date: Not reported
Referral Date: Not reported
Board Of Equalization: 44-026410
Number: Not reported
Comp Number: 9161
Status: Not reported
City: CUPERTINO
Address: 19480 STEVENS CREEK BLVD
Name: ALLAN DOMASH
Number Of Tanks: Not reported
Content: REG UNLEADED
STG: PRODUCT
Tank Use: M.V. FUEL
Active Date: Not reported
Capacity: 10000
Tank Status: Not reported
ALLAN DOMASH (Continued) U001600976
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Click here for Geo Tracker PDF:

Leak Detection: Stock Inventor, 10
Container Construction Thickness: 12
Type of Fuel: WASTE OIL
Tank Used for: WASTE
Tank Capacity: 00000550
Year Installed: 1972
Container Num: 4
Tank Num: 004
Leak Detection: Stock Inventor, 10
Container Construction Thickness: 1/4
Type of Fuel: UNLEADED
Tank Used for: PRODUCT
Tank Capacity: 00010000
Year Installed: 1972
Container Num: 3
Tank Num: 003
Leak Detection: Stock Inventor, 10
Container Construction Thickness: 1/4
Type of Fuel: PREMIUM
Tank Used for: PRODUCT
Tank Capacity: 00006000
Year Installed: 1972
ALLAN DOMASH (Continued) U001600976
Within 100yr Floodplain: No
WHPA HUC12: Not reported
WHPA Facility Type: Not reported
WHPA Water Type: Not reported
WHPA PWS Facility ID: Not reported
Within WHPA: No
SPA HUC12: Not reported
SPA Facility Type: Not reported
SPA Water Type: Not reported
SPA PWS Facility ID: Not reported
Within SPA: No
Land Use: Developed, Medium Intensity
Domestic Wells within 1500ft: 0
Population within 1500ft: 1582
Substance: Not reported
Status: No Further Action
Reported Date: Not reported
Address Match Type: PointAddress
City,State,Zip: CUPERTINO, CA 95014
Address: 19480 STEVENS CREEK BLVD
Name: SHELL
Lust ID: CAT0608501269
Facility ID: Not reported
Object ID: 44915
UST FINDER RELEASE:
409 ft. Site 5 of 7 in cluster D

0.077 mi.

Relative:

Lower
Actual:
196 ft.
< 1/8 CUPERTINO, CA 95014
East 19480 STEVENS CREEK BLVD N/A
D40 SHELL UST FINDER RELEASE 1029106633
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Longitude: -122.01389
Latitude: 37.32283
Y Coord: 37.3228300000001
X Coord: -122.01389
Coordinate Source: Geocode
Closed With Residual Contaminate: Not reported
NFA Letter 4: Not reported
NFA Letter 3: Not reported
NFA Letter 2: Not reported
NFA Letter 1: Not reported
EPA Region: 9
Tribe: Not reported
SHELL (Continued) 1029106633
Universal Waste Indicator: Yes
Off-Site Waste Receipt: No
Underground Injection Control: No
Smelting Melting and Refining Furnace Exemption: No
Small Quantity On-Site Burner Exemption: No
Recycler Activity with Storage: No
Transfer Facility Activity: No
Transporter Activity: No
Mixed Waste Generator: No
Importer Activity: No
Short-Term Generator Activity: No
Operator Type: Other
Operator Name: Dru Fanticola
Owner Type: Other
Owner Name: M C Llc
Mailing City,State,Zip: TUSTIN, CA 92780-6299
Mailing Address: 1422 EDINGER AVE STE 150
State District: Not reported
State District Owner: Not reported
Active Site Indicator: Handler Activities
Accessibility: Not reported
Biennial Report Cycle: Not reported
Non-Notifier: Not reported
Federal Waste Generator Description: Not a generator, verified Land Type: Not reported
EPA Region: 09
Contact Title: Not reported
Contact Email: [email protected]
Contact Fax: 714-444-4946
Contact Telephone: 714-444-4940
Contact City,State,Zip: TUSTIN, CA 92780-6299
Contact Address: 1422 EDINGER AVE STE 150
Contact Name: DRU FANTICOLA
EPA ID: CAL000336645
Handler City,State,Zip: CUPERTINO, CA 95014-2505
Handler Address: 19480 Stevens Creek Blvd
Handler Name: Jiffy Lube # 2355
Date Form Received by Agency: 20080924
RCRA Listings:
409 ft. Site 6 of 7 in cluster D

0.077 mi.

Relative:

Lower
Actual:
196 ft.
< 1/8 CUPERTINO, CA 95014
East 19480 STEVENS CREEK BLVD E MANIFEST CAL000336645
D41 JIFFY LUBE # 2355 RCRA NonGen / NLR 1024821278
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Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 714-444-4940
Owner/Operator City,State,Zip: TUSTIN, CA 92780-6299
Owner/Operator Address: 1422 EDINGER AVE STE 150
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: DRU FANTICOLA
Owner/Operator Indicator: Operator
Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 714-444-4940
Owner/Operator City,State,Zip: TUSTIN, CA 92780-6299
Owner/Operator Address: 1422 EDINGER AVE STE 150
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: M C LLC
Owner/Operator Indicator: Owner
Handler - Owner Operator:

Sub-Part P Indicator: No
Manifest Broker: No
Recycler Activity Without Storage: No
Exporter of Spent Lead Acid Batteries: No
Importer of Spent Lead Acid Batteries: No
Recognized Trader-Exporter: No
Recognized Trader-Importer: No
Handler Date of Last Change: 20180905
Financial Assurance Required: Not reported
Significant Non-Complier With a Compliance Schedule Universe: No Addressed Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Significant Non-Complier Universe: No
Groundwater Controls Indicator: N/A
Human Exposure Controls Indicator: N/A
Institutional Control Indicator: No
Environmental Control Indicator: No
Corrective Action Priority Ranking: No NCAPS ranking
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Subject to Corrective Action Universe: No
202 GPRA Corrective Action Baseline: No
2018 GPRA Renewals Baseline: Not on the Baseline
2018 GPRA Permit Baseline: Not on the Baseline
Sub-Part K Indicator: Not reported
Hazardous Secondary Material Indicator: N
Federal Facility Indicator: Not reported
Active Site State-Reg Handler: ---
Federal Universal Waste: No
Universal Waste Destination Facility: Yes
JIFFY LUBE # 2355 (Continued) 1024821278
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Designated Facility Mail Zip: 85365
Designated Facility Mail City: YUMA
Designated Facility Mail Street 2: 2730 E 13TH ST
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: Not reported
Designated Facility Name: Yuma Yes 2 Waste Transfer Station Designated Facility EPA ID: AZR000521146
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 92780-6299
Generator Mail City: TUSTIN
Generator Mail Street 2: Not reported
Generator Mail Street 1: 1422 EDINGER AVE STE 150
Generator Mail Street Number: Not reported
Generator Location Zip: 95014-2505
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 19480 STEVENS CREEK BLVD
Generator Location Street Number: Not reported
Generator Name: Jiffy Lube # 2355
Generator EPA ID: CAL000336645
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20220606
Shipped Date: 20220520
Last Updated Date: 20220706
Manifest Tracking Number: 024034481JJK
E MANIFEST:

Evaluations: No Evaluations Found
Evaluation Action Summary:

Violations: No Violations Found
Facility Has Received Notices of Violations:

NAICS Description: All Other Automotive Repair And Maintenance NAICS Code: 811198
List of NAICS Codes and Descriptions:

Electronic Manifest Broker: Not reported
Non Storage Recycler Activity: Not reported
Current Record: Yes
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Not a generator, verified Handler Name: JIFFY LUBE # 2355
Receive Date: 20080924
Historic Generators:

JIFFY LUBE # 2355 (Continued) 1024821278
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Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20240329
Shipped Date: 20240327
Last Updated Date: 20240417
Manifest Tracking Number: 026095234JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: AZ
Designated Facility Location Zip: 85365
Designated Facility Location City: YUMA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: 6500 S US HIGHWAY 95 Designated Facility Location Street Number: Not reported Designated Facility Mail State: AZ
Designated Facility Mail Zip: 85365
Designated Facility Mail City: YUMA
Designated Facility Mail Street 2: 2730 E 13TH ST
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: Not reported
Designated Facility Name: Yuma Yes 2 Waste Transfer Station Designated Facility EPA ID: AZR000521146
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 95014-2505
Generator Mail City: CUPERTINO
Generator Mail Street 2: Not reported
Generator Mail Street 1: 19480 STEVENS CREEK BLVD
Generator Mail Street Number: Not reported
Generator Location Zip: 95014-2505
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 19480 STEVENS CREEK BLVD
Generator Location Street Number: Not reported
Generator Name: Jiffy Lube-#2355
Generator EPA ID: CAL000336645
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20220408
Shipped Date: 20220328
Last Updated Date: 20220509
Manifest Tracking Number: 024035242JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: AZ
Designated Facility Location Zip: 85365
Designated Facility Location City: YUMA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: 6500 S US HIGHWAY 95 Designated Facility Location Street Number: Not reported Designated Facility Mail State: AZ
JIFFY LUBE # 2355 (Continued) 1024821278
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Designated Facility EPA ID: CAT080013352
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 92780
Generator Mail City: TUSTIN
Generator Mail Street 2: Not reported
Generator Mail Street 1: 1422 EDINGER AVE STE 150
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 19480 STEVENS CREEK BLVD
Generator Location Street Number: Not reported
Generator Name: Jiffy Lube # 2355
Generator EPA ID: CAL000336645
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20240409
Shipped Date: 20240329
Last Updated Date: 20240425
Manifest Tracking Number: 026095271JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95307
Designated Facility Location City: CERES
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: MORGAN RD
Designated Facility Location Street Number: 1920
Designated Facility Mail State: CA
Designated Facility Mail Zip: 95307
Designated Facility Mail City: CERES
Designated Facility Mail Street 2: MORGAN RD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 1920
Designated Facility Name: World Oil Environmental Services Designated Facility EPA ID: CAL000393680
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 92780-6299
Generator Mail City: TUSTIN
Generator Mail Street 2: Not reported
Generator Mail Street 1: 1422 EDINGER AVE STE 150
Generator Mail Street Number: Not reported
Generator Location Zip: 95014-2505
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 19480 STEVENS CREEK BLVD
Generator Location Street Number: Not reported
Generator Name: Jiffy Lube # 2355
Generator EPA ID: CAL000336645
Origin Type: Web
JIFFY LUBE # 2355 (Continued) 1024821278
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Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: AZ
Designated Facility Location Zip: 85365
Designated Facility Location City: YUMA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: 6500 US HIGHWAY 95 Designated Facility Location Street Number: Not reported Designated Facility Mail State: AL
Designated Facility Mail Zip: 00000
Designated Facility Mail City: NOT REQUIRED
Designated Facility Mail Street 2: NOT REQUIRED
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: Not reported
Designated Facility Name: Yuma Yes 2 Waste Transfer Station Designated Facility EPA ID: AZR000521146
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 92780-6299
Generator Mail City: TUSTIN
Generator Mail Street 2: Not reported
Generator Mail Street 1: 1422 EDINGER AVE STE 150
Generator Mail Street Number: Not reported
Generator Location Zip: 95014-2505
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 19480 STEVENS CREEK BLVD
Generator Location Street Number: Not reported
Generator Name: Jiffy Lube # 2355
Generator EPA ID: CAL000336645
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20240410
Shipped Date: 20240329
Last Updated Date: 20240507
Manifest Tracking Number: 026095272JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 90222-0000
Designated Facility Location City: COMPTON
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: N. ALAMEDA STREET Designated Facility Location Street Number: 2000
Designated Facility Mail State: CA
Designated Facility Mail Zip: 90222
Designated Facility Mail City: COMPTON
Designated Facility Mail Street 2: N. ALAMEDA STREET
Designated Facility Mail Street 1: CA90222 CA037US 2000 Designated Facility Mail Street Number: 2000
Designated Facility Name: World Oil Recycling
JIFFY LUBE # 2355 (Continued) 1024821278
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Generator Mail Street 1: 1422 EDINGER AVE STE 150
Generator Mail Street Number: Not reported
Generator Location Zip: 95014-2505
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 19480 STEVENS CREEK BLVD
Generator Location Street Number: Not reported
Generator Name: Jiffy Lube # 2355
Generator EPA ID: CAL000336645
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20240911
Shipped Date: 20240829
Last Updated Date: 20241010
Manifest Tracking Number: 026095536JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: AZ
Designated Facility Location Zip: 85365
Designated Facility Location City: YUMA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: 6500 S US HIGHWAY 95 Designated Facility Location Street Number: Not reported Designated Facility Mail State: AZ
Designated Facility Mail Zip: 85365
Designated Facility Mail City: YUMA
Designated Facility Mail Street 2: 2730 E 13TH ST
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: Not reported
Designated Facility Name: Yuma Yes 2 Waste Transfer Station Designated Facility EPA ID: AZR000521146
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 95014-2505
Generator Mail City: CUPERTINO
Generator Mail Street 2: Not reported
Generator Mail Street 1: 19480 STEVENS CREEK BLVD
Generator Mail Street Number: Not reported
Generator Location Zip: 95014-2505
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 19480 STEVENS CREEK BLVD
Generator Location Street Number: Not reported
Generator Name: Jiffy Lube # 2355
Generator EPA ID: CAL000336645
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20230317
Shipped Date: 20230308
Last Updated Date: 20230413
Manifest Tracking Number: 024035797JJK
JIFFY LUBE # 2355 (Continued) 1024821278
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Designated Facility Location City: YUMA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: 6500 S US HIGHWAY 95 Designated Facility Location Street Number: Not reported Designated Facility Mail State: AZ
Designated Facility Mail Zip: 85365
Designated Facility Mail City: YUMA
Designated Facility Mail Street 2: 2730 E 13TH ST
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: Not reported
Designated Facility Name: Yuma Yes 2 Waste Transfer Station Designated Facility EPA ID: AZR000521146
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 92780-6299
Generator Mail City: TUSTIN
Generator Mail Street 2: Not reported
Generator Mail Street 1: 1422 EDINGER AVE STE 150
Generator Mail Street Number: Not reported
Generator Location Zip: 95014-2505
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 19480 STEVENS CREEK BLVD
Generator Location Street Number: Not reported
Generator Name: Jiffy Lube # 2355
Generator EPA ID: CAL000336645
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20240720
Shipped Date: 20240708
Last Updated Date: 20240813
Manifest Tracking Number: 026096400JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: AZ
Designated Facility Location Zip: 85365
Designated Facility Location City: YUMA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: 6500 S US HIGHWAY 95 Designated Facility Location Street Number: Not reported Designated Facility Mail State: AZ
Designated Facility Mail Zip: 85365
Designated Facility Mail City: YUMA
Designated Facility Mail Street 2: 2730 E 13TH ST
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: Not reported
Designated Facility Name: Yuma Yes 2 Waste Transfer Station Designated Facility EPA ID: AZR000521146
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 92780-6299
Generator Mail City: TUSTIN
Generator Mail Street 2: Not reported
JIFFY LUBE # 2355 (Continued) 1024821278
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Generator Location Street 1: 19480 STEVENS CREEK BLVD
Generator Location Street Number: Not reported
Generator Name: Jiffy Lube # 2355
Generator EPA ID: CAL000336645
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20220909
Shipped Date: 20220901
Last Updated Date: 20220930
Manifest Tracking Number: 024039334JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: AZ
Designated Facility Location Zip: 85365
Designated Facility Location City: YUMA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: 6500 S US HIGHWAY 95 Designated Facility Location Street Number: Not reported Designated Facility Mail State: AZ
Designated Facility Mail Zip: 85365
Designated Facility Mail City: YUMA
Designated Facility Mail Street 2: 2730 E 13TH ST
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: Not reported
Designated Facility Name: Yuma Yes 2 Waste Transfer Station Designated Facility EPA ID: AZR000521146
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 92780-6299
Generator Mail City: TUSTIN
Generator Mail Street 2: Not reported
Generator Mail Street 1: 1422 EDINGER AVE STE 150
Generator Mail Street Number: Not reported
Generator Location Zip: 95014-2505
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 19480 STEVENS CREEK BLVD
Generator Location Street Number: Not reported
Generator Name: Jiffy Lube # 2355
Generator EPA ID: CAL000336645
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20241018
Shipped Date: 20241007
Last Updated Date: 20241107
Manifest Tracking Number: 026096980JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: AZ
Designated Facility Location Zip: 85365
JIFFY LUBE # 2355 (Continued) 1024821278
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Designated Facility Mail City: YUMA
Designated Facility Mail Street 2: 2730 E 13TH ST
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: Not reported
Designated Facility Name: Yuma Yes 2 Waste Transfer Station Designated Facility EPA ID: AZR000521146
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 92780-6299
Generator Mail City: TUSTIN
Generator Mail Street 2: Not reported
Generator Mail Street 1: 1422 EDINGER AVE STE 150
Generator Mail Street Number: Not reported
Generator Location Zip: 95014-2505
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 19480 STEVENS CREEK BLVD
Generator Location Street Number: Not reported
Generator Name: Jiffy Lube # 2355
Generator EPA ID: CAL000336645
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20220912
Shipped Date: 20220901
Last Updated Date: 20221010
Manifest Tracking Number: 024039335JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 90222-0000
Designated Facility Location City: COMPTON
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: N. ALAMEDA STREET Designated Facility Location Street Number: 2000
Designated Facility Mail State: CA
Designated Facility Mail Zip: 90222
Designated Facility Mail City: COMPTON
Designated Facility Mail Street 2: N. ALAMEDA STREET
Designated Facility Mail Street 1: CA90222 CA037US 2000 Designated Facility Mail Street Number: 2000
Designated Facility Name: World Oil Recycling
Designated Facility EPA ID: CAT080013352
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 92780-6299
Generator Mail City: TUSTIN
Generator Mail Street 2: Not reported
Generator Mail Street 1: 1422 EDINGER AVE STE 150
Generator Mail Street Number: Not reported
Generator Location Zip: 95014-2505
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
JIFFY LUBE # 2355 (Continued) 1024821278
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Waste Minimization Code Description: Not reported
Waste Minimization Code: Not reported
Source Code Description: Not reported
Source Code: Not reported
Form Code Description: Not reported
Form Code: Not reported
Waste Density Unit of Measure Description: Not reported Waste Density Unit of Measure Code: Not reported
Waste Density: Not reported
Waste Type Discrepancy Indicator: N
Quantity Discrepancy Indicator: N
Waste Residue Indicator: N
Management Method Description: STORAGE, BULKING AND/OR TRANSFER OFF SITE Management Method Code: H141
Non-Acute Waste Quantity, in Kilorgrams: 22.67575
Acute Waste Quantity, in Kilograms: 0
Waste Quantity, in Kilograms: 22.67575
Non-Acute Waste Quantity, in Tons: 0.025
Acute Waste Quantity, in Tons: 0
Waste Quantity, in Tons: 0.025
Quantity Unit of Measure Description: Pounds
Quantity Unit of Measure Code: P
Waste Quantity: 50
Container Type Description: Metal drums, barrels, kegs
Container Type Code: DM
Number of Containers: 1
Non-Hazardous Waste Description: Non-Rcra Hazardous Waste, Solid (Oily Solids) U.S. DOT Description: Not reported
U.S. DOT ID Number: Not reported
U.S. DOT Hazardous Indicator: N
Waste Line Number: 1
Manifest Tracking Number: 021508441JJK
Waste Line:

Transporter Name: Worldwide Recovery System Inc
Transporter EPA ID: CAR000175422
Transporter Line Number: 2
Manifest Tracking Number: 021508441JJK
Transporter Name: Asbury Environmental Services Dba World Oil Enviromental Services Transporter EPA ID: CAD028277036
Transporter Line Number: 1
Manifest Tracking Number: 021508441JJK
Transporter:

Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: AZ
Designated Facility Location Zip: 85365
Designated Facility Location City: YUMA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: 6500 S US HIGHWAY 95 Designated Facility Location Street Number: Not reported Designated Facility Mail State: AZ
Designated Facility Mail Zip: 85365
JIFFY LUBE # 2355 (Continued) 1024821278
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95 additional US EManifest: record(s) in the EDR Site Report.

Click this hyperlink while viewing on your computer to access State Waste Codes: CA-352
Quantity Non Haz Tons: 0.025
Quantity Non Haz Kg: 22.67575
Quantity Haz Tons: 0
Quantity Haz Kg: 0
Federal Waste Codes: Not reported
EPA Waste Indicator: N
Consent Number: Not reported
JIFFY LUBE # 2355 (Continued) 1024821278
Property Owner City: Saratoga
Property Owner Mailing Address: 14510 Big Basin Way
Property Owner Phone: Not reported
Property Owner Name: Anna Cali
Owner Country: United States
Owner Zip Code: 92780
Owner State: CA
Owner Mail Address: 1422 EDINGER AV #150
Owner Phone: 4082538579
Operator Phone: (714) 444-4940
Operator Name: M.C. LLC
Mailing Address Zip Code: 92780
Mailing Address State: CA
Mailing Address City: TUSTIN
Mailing Address: 1422 EDINGER AVE STE 150
Fax: Not reported
Phone: (714) 444-4940
Business Name: M.C. LLC
Facility ID: Not reported
CERSID: 10348462
Total Gallons: Not reported
Owner: MC LLC
Certified Unified Program Agencies: Not reported
City/Zip: CUPERTINO,95014
Address: 19480 STEVENS CREEK BL
Name: JIFFY LUBE #2355
AST:

EDR Link ID: 07S1W18F02F
Date Closed: 09/30/1994
SCVWD ID: 07S1W18F02F
Region: SANTA CLARA
City,State,Zip: CUPERTINO, CA
Address: 19480 STEVENS CREEK BLVD
Name: SHELL
LUST SANTA CLARA:

CERS
CUPA Listings

CA FID UST
409 ft. Site 7 of 7 in cluster D CERS TANKS

0.077 mi. CERS HAZ WASTE
Relative:

Lower
Actual:
196 ft.
< 1/8 CUPERTINO, CA 95014 HAULERS
East 19480 STEVENS CREEK AST N/A
D42 ALLAN DOMASH LUST S101624883
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DUNs Number: Not reported
Contact Phone: Not reported
Contact: Not reported
Mailing City,St,Zip: CUPERTINO 95014
Mailing Address 2: Not reported
Mailing Address: 19480 STEVENS CREEK
Mail To: Not reported
Facility Phone: 4082530555
SIC Code: Not reported
Cortese Code: Not reported
Regulated ID: 00009161
Regulated By: UTNKI
Facility ID: 43001308
CA FID UST:

CERS Description: Aboveground Petroleum Storage
CERS ID: 10348462
Site ID: 39878
City,State,Zip: CUPERTINO, CA 95014
Address: 19480 STEVENS CREEK BL
Name: JIFFY LUBE #2355
CERS TANKS:

CERS Description: Hazardous Waste Generator
CERS ID: 10348462
Site ID: 39878
City,State,Zip: CUPERTINO, CA 95014
Address: 19480 STEVENS CREEK BL
Name: JIFFY LUBE #2355
CERS HAZ WASTE:

Business Types: Not reported
Regulatory Status Last Changed: 2024-05-10 10:06:46
Accepting Tires From Public: Not reported
Current Hauler Status: Not reported
Current Status: Active
Mailing Phone: (714) 444-4940
Mailing County: Not reported
Mailing Zip: 92780
Mailing State: CA
Mailing City: Tustin
Mailing Address: 1422 Edinger Avenue, Suite 150
Contact Person: Store Admin
Business Email Address: [email protected]
Facility Phone: Not reported
Facility ID: 1956107
City,State,Zip: CUPERTINO, CA 95014
Address: 19480 STEVENS CREEK BOULEVARD
Name: M.C. LLC DBA JIFFY LUBE #2355
HAULERS:

EPAID: CAL000336645
Property Owner Country: United States
Property Owner Zip Code: 95070
Property Owner Stat : CA
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CERS Description: Chemical Storage Facilities
CERS ID: 10348462
Site ID: 39878
City,State,Zip: CUPERTINO, CA 95014
Address: 19480 STEVENS CREEK BL
Name: JIFFY LUBE #2355
CERS:

Facility ID: FA0262602
Record ID: PR0399637
Longitude: -122.013813
Latitude: 37.32274
Program Identifier: DEH PERMIT-ABOVEGROUND PETROLEUM STORAGE ACT PROGRAM Program Description: APSA FACILITY-SPCC TEMPLATE(<10,000 GAL CAP) PE#: 2011
UDF Email: [email protected]; [email protected] Telephone: 4082538579
Region: SANTA CLARA
City,State,Zip: CUPERTINO, CA 95014
Address: 19480 STEVENS CREEK BL
Name: JIFFY LUBE #2355
Facility ID: FA0262602
Record ID: PR0386929
Longitude: -122.013813
Latitude: 37.32274
Program Identifier: DEH PERMIT-HAZ WASTE GENERATOR PROGRAM Program Description: GENERATES 5 TO <25 TONS/YEAR
PE#: 2206
UDF Email: [email protected]; [email protected] Telephone: 4082538579
Region: SANTA CLARA
City,State,Zip: CUPERTINO, CA 95014
Address: 19480 STEVENS CREEK BL
Name: JIFFY LUBE #2355
Facility ID: FA0252341
Record ID: PR0367273
Longitude: -122.013813
Latitude: 37.32274
Program Identifier: DEH PERMIT-HAZ WASTE GENERATOR PROGRAM Program Description: GENERATES 5 TO <25 TONS/YEAR
PE#: 2206
UDF Email: Not reported
Telephone: Not reported
Region: SANTA CLARA
City,State,Zip: CUPERTINO, CA 95014
Address: 19480 STEVENS CREEK BL
Name: JIFFY LUBE #2355
CUPA SANTA CLARA:

Status: Inactive
Comments: Not reported
EPA ID: Not reported
NPDES Number: Not reported
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Violation Program: HW
Violation Division: Santa Clara County Environmental Health ___________________________________________________________ those time periods.
each missing receipt or notify our agency if no shipment occurred on November/early December 2014 or for mid June 2015. Provide a copy of weeks. No hazardous waste manifest was observed for late records review, waste oily water shipments occur approximately every 2 ___________________________________________________________ Per Violation Notes: Returned to compliance on 10/23/2015.
manifest, or bills of lading copies for three years.

Violation Description: Failure to maintain uniform hazardous waste manifest, consolidated Chapter 12, Section(s) 66262.40(a)
Citation: 22 CCR 12 66262.40(a) - California Code of Regulations, Title 22, Violation Date: 09-23-2015
Site Name: JIFFY LUBE #2355
Site ID: 39878
Violation Source: CERS,
Violation Program: APSA
Violation Division: Santa Clara County Environmental Health CORRECTIVE ACTION REQUIRED.
monthly checklist in the plan has been utilized and recorded upon. NO compliant inspections were not being conducted. Since 6/2018, the Violation Notes: Returned to compliance on 11/19/2018. Prior to June, 2018, plan

3. Keep comparison records.
records of inspections and integrity tests for at least three years. appropriate supervisor or inspector. 2. Keep written procedures and Have record of inspections and integrity tests signed by the Violation Description: Failure to comply with one or more of the following requirements: 1.

6.67, Section(s) 25270.4.5(a)
Citation: HSC 6.67 25270.4.5(a) - California Health and Safety Code, Chapter Violation Date: 11-19-2018
Site Name: JIFFY LUBE #2355
Site ID: 39878
Violation Source: CERS,
Violation Program: APSA
Violation Division: Santa Clara County Environmental Health REQUIRED.

TABLE IN EMERGENCY PLAN DURING INSPECTION. NO CORRECTIVE ACTION was incomplete, with no names listed. PLAN WAS UPDATED BY FILLING IN Violation Notes: Returned to compliance on 11/19/2018. Emergency contact list in plan Plan.
40 CFR 112.7(a)(4), unless facility submitted a Facility Response reporting an oil discharge to relate all information as described in discharge 2. Information and procedures that would enable a person Federal, State, and local agencies who must be contacted in case of a Center, cleanup contractors with an agreement for response, and all numbers for the facility response coordinator, National Response Violation Description: Failure to include in the SPCC Plan: 1. A contact list and phone

6.67, Section(s) 25270.4.5(a)
Citation: HSC 6.67 25270.4.5(a) - California Health and Safety Code, Chapter Violation Date: 11-19-2018
Site Name: JIFFY LUBE #2355
Site ID: 39878
Violations:

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Site ID: 39878
Violation Source: CERS,
Violation Program: HW
Violation Division: Santa Clara County Environmental Health ___________________________________________________________ shipment occurred during that time period period.
for mid-May. Provide a copy of this receipt or notify our agency if no approximately every 2 months. No consolidated manifest was observed periods. -Per records review, used antifreeze shipments occur receipt or notify our agency if no shipment occurred on those time for September 2014 or mid-July 2014. Provide a copy of each missing approximately every 3 weeks. No consolidated manifests were observed records review, used oil and gasoline filters shipments occur ___________________________________________________________ -Per Violation Notes: Returned to compliance on 10/23/2015.
manifest, or bills of lading copies for three years.

Violation Description: Failure to maintain uniform hazardous waste manifest, consolidated Chapter 12, Section(s) 66262.40(a)
Citation: 22 CCR 12 66262.40(a) - California Code of Regulations, Title 22, Violation Date: 09-23-2015
Site Name: JIFFY LUBE #2355
Site ID: 39878
Violation Source: CERS,
Violation Program: APSA
Violation Division: Santa Clara County Environmental Health plan.
personnel are not being conducted or documented as specified in the Violation Notes: Returned to compliance on 11/19/2018. Spill prevention briefings of once a year.

Violation Description: Failure to schedule and conduct spill prevention briefings at least

6.67, Section(s) 25270.4.5(a)
Citation: HSC 6.67 25270.4.5(a) - California Health and Safety Code, Chapter Violation Date: 09-23-2015
Site Name: JIFFY LUBE #2355
Site ID: 39878
Violation Source: CERS,
Violation Program: HW
Violation Division: Santa Clara County Environmental Health ___________________________________________________________ "emptied daily". Affix a complete hazardous waste label to container. 1 x app. 5 gallon container of oily solids in pit labeled only ___________________________________________________________ -Observed Violation Notes: Returned to compliance on 10/23/2015.

Waste, and starting accumulation date.
generator, physical and chemical characteristics of the Hazardous the following requirements: "Hazardous Waste", name and address of the Violation Description: Failure to properly label hazardous waste accumulation containers with Chapter 12, Section(s) 66262.34(f)
Citation: 22 CCR 12 66262.34(f) - California Code of Regulations, Title 22, Violation Date: 09-23-2015
Site Name: JIFFY LUBE #2355
Site ID: 39878
Violation Source: CERS,
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monitoring equipment and leak-detection equipment, (e.g., pressure and to detect corrosion or releases of waste; 3) Data gathered from working order; 2) The aboveground portions of the tank system, if any, bypass systems, and drainage systems) to ensure that it is in good Overfill/spill control equipment (e.g., waste-feed cutoff systems, inspection records at the facility of the following tank equipment: 1) Violation Description: Failure of the owner or operator to conduct inspections and maintain Chapter 15, Section(s) 66265.195(a)
Citation: 22 CCR 15 66265.195(a) - California Code of Regulations, Title 22, Violation Date: 09-23-2015
Site Name: JIFFY LUBE #2355
Site ID: 39878
Violation Source: CERS,
Violation Program: HW
Violation Division: Santa Clara County Environmental Health wastestream which is generated daily to weekly.
between shipments of oily water (10/14/17 to 2/24/18) for a Violation Notes: Returned to compliance on 11/30/2018. Noted interval of 132 days has accumulated hazardous waste on-site for longer than 90 days.

Violation Description: Failure to obtain a permit or grant of interim status after generator Section(s) 25201
Citation: HSC 6.5 25201 - California Health and Safety Code, Chapter 6.5, Violation Date: 11-19-2018
Site Name: JIFFY LUBE #2355
Site ID: 39878
Violation Source: CERS,
Violation Program: HW
Violation Division: Santa Clara County Environmental Health ___________________________________________________________ accumulation rules.
emptied of all contents or it will subject to all hazardous waste containing free-flowing quantities of used oil. Ensure that buckets is 2 x 5 gallon buckets used to drain oil filters on catwalks in pit ___________________________________________________________ -Observed Violation Notes: Returned to compliance on 10/23/2015.

Violation Description: Haz Waste Generator Program - Operations/Maintenance - General

6.5, Section(s) Multiple Sections
Citation: HSC 6.5 Multiple Sections - California Health and Safety Code, Chapter Violation Date: 09-23-2015
Site Name: JIFFY LUBE #2355
Site ID: 39878
Violation Source: CERS,
Violation Program: APSA
Violation Division: Santa Clara County Environmental Health being conducted using the form/format provided for in the plan.

Violation Notes: Returned to compliance on 06/18/2018. Inspections of tanks are not customary business records).
areas, and comparison records in the records of inspections (or deterioration, discharges and/or accumulations of oil inside diked Violation Description: Failure to include inspections of tank supports/foundation,

6.67, Section(s) 25270.4.5(a)
Citation: HSC 6.67 25270.4.5(a) - California Health and Safety Code, Chapter Violation Date: 09-23-2015
Site Name: JIFFY LUBE #2355
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Eval Division: Santa Clara County Environmental Health
1 YEAR OF PLAN IF NOT [Truncated]
REVISED IN 2018 WITH PE CALLING FOR INTEGRITY TESTING OF TANKS WITHIN testing for all product tanks has not been completed. --PLAN WAS open. Manifolded tanks were not mentioned in the plan. Tank integrity map) are manifoded via bottom of tank "t" connection. Both valves were HAD A DIPSTICK AVAILABLE TO BE USED TO MEASURE. Tanks 12-13 (on plan

THAT PRE-MEASUREMENT OF TANKS WILL OCCUR, BUT NEITEHR OF THESE TANKS used oil. --NOTE THAT TANKS 6 (0W30 Synth) AND 7 (GLS-5) BOTH NOTE pre-measurement is generally described filling process for all but containment. Visual with communication for overfill with vaulted containment, and piping is within footprint of "pit" work area reference for regulatory key. Tanks are generally single walled with management signuture 9/6/18. Maintained onsite. Plan has cross but has chosen to implement a full SPCC plan. Plan dated 7/22/18, with Eval Notes: Site is <10,000 gal, no tank larger than 5000 gal templete eligible, Eval Type: Routine done by local agency
Violations Found: Yes
Eval Date: 11-19-2018
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS,
Eval Program: HMRRP
Eval Division: Santa Clara County Fire Department
Eval Notes: Occupancy ID: 10376
Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 10-24-2014
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS,
Eval Program: HMRRP
Eval Division: Santa Clara County Fire Department
Eval Notes: Occupancy ID: 10376
Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 09-03-2017
Eval General Type: Compliance Evaluation Inspection
Evaluation:

Violation Source: CERS,
Violation Program: HW
Violation Division: Santa Clara County Environmental Health ___________________________________________________________ that you conduct daily inspections and initial log.

Khounpraseuth stated that he did inspection but forgot to sign. Ensure lapses in tank inspection log for the 4 days of July. Mr. ___________________________________________________________ -Observed Violation Notes: Returned to compliance on 10/23/2015.
with section 66265.194(b)(3).
uncovered tanks, the level of waste in the tank, to ensure compliance hazardous waste (e.g., wet spots, dead vegetation); and 5) For structures (e.g., dikes) to detect erosion or signs of releases of accessible portion of the tank system including secondary containment materials and the area immediately surrounding the externally is being operated according to its design; 4) The construction temperature gauges, monitoring wells) to ensure that the tank system ALLAN DOMASH (Continued) S101624883
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Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 11-06-2019
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS,
Eval Program: HMRRP
Eval Division: Santa Clara County Fire Department
Eval Notes: Occupany ID: 10376
Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 10-24-2022
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS,
Eval Program: APSA
Eval Division: Santa Clara County Environmental Health
nearest gutter/offsite [Truncated]
storm drains in parking lot, and slope renders long run offsite to Plan has reference to loading and unloading from bulk delivery. No WITH LOCATION TO BE CHECKED TO ENSURE CONTAINMENT IS FREE OF LIQUID. where to check on each tank is not clear. RECOMMEND MARKING EACH TANK calls for visual inspection of containment of each tank, but location tanks (totes) are single walled, rely on floor for containment. Plan alarms functioned. Steel tanks are double walled manufactured. Poly overfill alarms were installed and tested during the inspection. All overfill alarms. Those less are visual confirmation for overfill. All regulations. Tanks larger than 500 gallons are fitted with audible structured with cross reference (as allowed) not in sequence with Martinez All sources of oil were accounted for in the plan. Plan is signed as to management approval by district manager, Gilbert Eval Notes: Review of SPCC plan. Plan dated 8/3/15, signed and stamped by PE. Plan Eval Type: Routine done by local agency
Violations Found: Yes
Eval Date: 09-23-2015
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS,
Eval Program: HMRRP
Eval Division: Santa Clara County Fire Department
Eval Notes: Occupancy ID: 10376
Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 12-05-2013
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS,
Eval Program: HMRRP
Eval Division: Santa Clara County Fire Department
Eval Notes: Occupancy ID: 10376
Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 11-28-2018
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS,
Eval Program: APSA
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Eval Date: 11-15-2016
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS,
Eval Program: HMRRP
Eval Division: Santa Clara County Fire Department
Eval Notes: Occupancy ID: 10376
Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 11-09-2015
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS,
Eval Program: HW
Eval Division: Santa Clara County Environmental Health
vehicle is serviced. Used oil in [Truncated]
gallons rolling collection container located beneath where each Khounpraseuth stated that each service bay contains 1 x app. 20 -Used antifreeze: 1 x 170 gallon aboveground poly storage tank Mr. -Used oil: 1 x 1000 gallon UL-listed aboveground steel storage tank x 55 gallon drum in pit -Waste brake fluid: 1 x 15 gallon drum in pit outdoor dumpster area, 1 app. 5 gallon container in pit -Oily water: 1 buckets on catwalks in pits -Oily solids: 2 x 55 gallon drums in filters: 3 x 55 gallon drums in outdoor dumpster area, 2 x 5 gallon x 5 gallon bucket beneath filter crusher in pit -Used oil and gasoline x 5 gallon buckets for draining oil quart containers in service bay, 1 Khounpraseuth and observed the following hazardous waste: -Used oil: 2 collection center. Performed a facility walk-through with Mr. non-RCRA LQG quick service oil changer and a certified used oil Eval Notes: On-site to conduct a hazardous waste inspection. Location is a Eval Type: Routine done by local agency
Violations Found: Yes
Eval Date: 09-23-2015
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS,
Eval Program: HMRRP
Eval Division: Santa Clara County Fire Department
Eval Notes: Occupany ID: 10376
Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 12-19-2023
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS,
Eval Program: HMRRP
Eval Division: Santa Clara County Fire Department
Eval Notes: Occupany ID: 10376
Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 12-01-2021
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS,
Eval Program: HMRRP
Eval Division: Santa Clara County Fire Department
Eval Notes: Occupany ID: 10376
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Site City: CUPERTINO
Site Address: 19480 STEVENS CREEK BL
Site Name: JIFFY LUBE #2355
Site ID: 39878
Enf Action Source: CERS,
Enf Action Program: APSA
Enf Action Division: Santa Clara County Environmental Health Enf Action Notes: Not reported
Enf Action Description: Notice of Violation Issued by the Inspector at the Time of Inspection Enf Action Type: Notice of Violation (Unified Program)
Enf Action Date: 09-23-2015
Site Zip: 95014
Site City: CUPERTINO
Site Address: 19480 STEVENS CREEK BL
Site Name: JIFFY LUBE #2355
Site ID: 39878
Enforcement Action:

Eval Source: CERS,
Eval Program: HMRRP
Eval Division: Santa Clara County Fire Department
Eval Notes: Occupany ID: 10376
Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 12-08-2020
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS,
Eval Program: HW
Eval Division: Santa Clara County Environmental Health
of any haz waste. 2x55 gal [Truncated]
oil containers. Both labeled. At trash area, dumpster and recycle free gal buckets for drips from funnels and used to drain quart and gallon crusher in good condition, empty daily and labeled. Upstairs, 2x5 5 filter bucket also present, labeled. 5 gal bucket to catch oil from racks, then crushed and to labeled interim storage bucket. Paper Antifreeze to 150 gallon poly tank, label good. Filters drain on gallon overpack. Label good. Brake fluid in 15 gal drum, label good. noted during inspection Oily mop water to 55 gallon drum within 85 demonstrated to be of ample volume. No drains or other means of egress walled tank in vaulted work area. - Basement used as containment, gravity fed from rolling oil collection bins to 1000 gallon single Beltran, District Manager and Anthony Ingram, Manager. Used oil CAL000336645, active on date of inspection. Walk through with Saul Eval Notes: Facility is automotive maintenance, quick lube location with ID number Eval Type: Routine done by local agency
Violations Found: Yes
Eval Date: 11-19-2018
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS,
Eval Program: HMRRP
Eval Division: Santa Clara County Fire Department
Eval Notes: Occupancy ID: 10376
Eval Type: Routine done by local agency
Violations Found: No
ALLAN DOMASH (Continued) S101624883
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Affiliation Country: Not reported
Affiliation State: Not reported
Affiliation City: Not reported
Affiliation Address: Not reported
Entity Title: District Manager
Entity Name: Robert Gomez
Affiliation Type Desc: Identification Signer
Affiliation Phone: ,
Affiliation Zip: Not reported
Affiliation Country: Not reported
Affiliation State: Not reported
Affiliation City: Not reported
Affiliation Address: Not reported
Entity Title: Not reported
Entity Name: M.C. LLC
Affiliation Type Desc: Parent Corporation
Affiliation Phone: (714) 444-4940,
Affiliation Zip: 92780
Affiliation Country: United States
Affiliation State: CA
Affiliation City: Tustin
Affiliation Address: 1422 Edinger Dr, Ste. 150
Entity Title: Not reported
Entity Name: MC LLC
Affiliation Type Desc: Legal Owner
Affiliation Phone: ,
Affiliation Zip: 92780
Affiliation Country: Not reported
Affiliation State: CA
Affiliation City: Tustin
Affiliation Address: 1422 Edinger Dr, Ste. 150
Entity Title: Not reported
Entity Name: ROBERT GOMEZ
Affiliation Type Desc: Environmental Contact
Affiliation Phone: (408) 918-3400,
Affiliation Zip: 95112-2716
Affiliation Country: Not reported
Affiliation State: CA
Affiliation City: San Jose
Affiliation Address: 1555 Berger Drive, Suite 300
Entity Title: Not reported
Entity Name: Santa Clara County Environmental Health
Affiliation Type Desc: CUPA District
Affiliation:

Enf Action Source: CERS,
Enf Action Program: HW
Enf Action Division: Santa Clara County Environmental Health Enf Action Notes: Not reported
Enf Action Description: Notice of Violation Issued by the Inspector at the Time of Inspection Enf Action Type: Notice of Violation (Unified Program)
Enf Action Date: 09-23-2015
Site Zip: 95014
ALLAN DOMASH (Continued) S101624883
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Elevation Site Database(s) EPA ID Number
Affiliation Phone: (714) 444-4940,
Affiliation Zip: Not reported
Affiliation Country: Not reported
Affiliation State: Not reported
Affiliation City: Not reported
Affiliation Address: Not reported
Entity Title: Not reported
Entity Name: M.C. LLC
Affiliation Type Desc: Operator
Affiliation Phone: ,
Affiliation Zip: 92780
Affiliation Country: Not reported
Affiliation State: CA
Affiliation City: Tustin
Affiliation Address: 1422 Edinger Dr, Ste. 150
Entity Title: Not reported
Entity Name: Mailing Address
Affiliation Type Desc: Facility Mailing Address
Affiliation Phone: ,
Affiliation Zip: Not reported
Affiliation Country: Not reported
Affiliation State: Not reported
Affiliation City: Not reported
Affiliation Address: Not reported
Entity Title: Not reported
Entity Name: KPA, LLC
Affiliation Type Desc: Document Preparer
Affiliation Phone: ,
Affiliation Zip: Not reported
ALLAN DOMASH (Continued) S101624883
Facility ID: FA0259034
Record ID: PR0381142
Longitude: -122.014432
Latitude: 37.32496
Program Identifier: DEH PERMIT-HAZ WASTE GENERATOR PROGRAM Program Description: GENERATES <100 KG/YR OR USED OIL ONLY PE#: 2202
UDF Email: [email protected]
Telephone: 4089969567
Region: SANTA CLARA
City,State,Zip: CUPERTINO, CA 95014
Address: 10101 WOLFE RD
Name: VALLCO DENTAL CARE
CUPA SANTA CLARA:
443 ft. Site 1 of 8 in cluster E

0.084 mi.

Relative:

Lower
Actual:
195 ft.
< 1/8 CUPERTINO, CA 95014
North 10101 WOLFE RD N/A
E43 VALLCO DENTAL CARE CUPA Listings S121473443
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EPAID: Not reported
Property Owner Country: Not reported
Property Owner Zip Code: Not reported
Property Owner Stat : Not reported
Property Owner City: Not reported
Property Owner Mailing Address: Not reported
Property Owner Phone: Not reported
Property Owner Name: Not reported
Owner Country: Not reported
Owner Zip Code: Not reported
Owner State: Not reported
Owner Mail Address: Not reported
Owner Phone: Not reported
Operator Phone: Not reported
Operator Name: Not reported
Mailing Address Zip Code: Not reported
Mailing Address State: Not reported
Mailing Address City: Not reported
Mailing Address: Not reported
Fax: Not reported
Phone: Not reported
Business Name: Not reported
Facility ID: Not reported
CERSID: Not reported
Total Gallons: 1,800
Owner: SEARS AUTO CENTER
Certified Unified Program Agencies: Santa Clara County
City/Zip: CUPERTINO,
Address: 10101 WOLFE RD
Name: SEARS AUTO CENTER
AST:
443 ft. Site 2 of 8 in cluster E

0.084 mi.

Relative:

Lower
Actual:
195 ft.
< 1/8 CUPERTINO, CA
North 10101 WOLFE RD N/A
E44 SEARS AUTO CENTER AST A100337303
File Number: 00020890
City,State,Zip: CUPERTINO, CA 95014
Address: 10101 WOLFE ROAD
Name: SEARS ROEBUCK AND CO
HIST UST:

EDR Link ID: 07S1W18G01F
Date Closed: 12/06/1999
SCVWD ID: 07S1W18G01F
Region: SANTA CLARA
City,State,Zip: CUPERTINO, CA
Address: 10101 N WOLFE RD
Name: SEARS AUTOMOTIVE CENTER
LUST SANTA CLARA:
443 ft. Site 3 of 8 in cluster E CERS

0.084 mi. ECHO
Relative:

Lower
Actual:
195 ft.
< 1/8 CUPERTINO, CA 95014 FINDS
North 10101 N WOLFE RD HIST UST N/A
E45 SEARS, #1468 LUST 1008153180
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STABLE IDENTIFIERS TO IMPROVE CONTINUITY FROM YEAR TO YEAR AND TO HELP

INVENTORY DATA ARE KEPT SEPARATE FROM THE EMISSIONS DATA AND HAVE RELEASE POINTS, CONTROL APPROACHES, AND REGULATIONS. FACILITY

AND THEIR PHYSICAL LOCATION, EMISSIONS UNITS, EMISSIONS PROCESSES, POINT POLLUTANT EMITTERS. IT CONTAINS INFORMATION ABOUT FACILITY SITES

STATIONARY SOURCES AND VOLUNTARILY-REPORTED SMALLER SOURCES OF AIR

THE EMISSION INVENTORY SYSTEM (EIS) MAINTAINS AN INVENTORY OF LARGE Environmental Interest/Information System:

Click Here for FRS Facility Detail Report:

Registry ID: 110019006332
Inventory (TRI).

California Integrated Water Quality System (CIWQS), andToxic Release Environmental Reporting System (CERS),EnviroStor, GeoTracker, systems managed within CalEPA. The five systems are: California combines and merges facility and site information from five different implemented a new data warehouse system (nSite). This data warehouse The California Environmental Protection Agency (CalEPA) has recently environmental programs.
consistent regulatory activities for six state and federal (Unified Program Agencies - UPAs) consolidate, coordinate and provide law. Under oversight by Cal/EPA, certified local governing agencies waste and compliance and enforcement data as mandated by California collecting and reporting significant hazardous materials, hazardous regulated businesses and over 130 local agencies in electronically web-based user and information exchange system to support over 140,000 The California Environmental Reporting System (CERS) is a statewide Environmental Interest/Information System:

Click Here for FRS Facility Detail Report:

Registry ID: 110055823541
FINDS:

Click here for Geo Tracker PDF:

Leak Detection: Not reported
Container Construction Thickness: Not reported
Type of Fuel: Not reported
Tank Used for: Not reported
Tank Capacity: Not reported
Year Installed: Not reported
Container Num: Not reported
Tank Num: Not reported
Total Tanks: Not reported
Owner City,St,Zip: Not reported
Owner Address: Not reported
Owner Name: Not reported
Telephone: Not reported
Contact Name: Not reported
Other Type: Not reported
Facility Type: Not reported
Facility ID: Not reported
Region: Not reported
URL:

SEARS, #1468 (Continued) 1008153180
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Affiliation Phone: ,
Affiliation Zip: Not reported
Affiliation Country: Not reported
Affiliation State: Not reported
Affiliation City: HOFFMANESTATES
Affiliation Address: 3333 BEVERLY ROADNA B5-348A
Entity Title: Not reported
Entity Name: Robyn West
Affiliation Type Desc: Environmental Contact
Affiliation Phone: ,
Affiliation Zip: Not reported
Affiliation Country: Not reported
Affiliation State: CA
Affiliation City: CUPERTINO
Affiliation Address: 10101 WOLFE ROAD
Entity Title: Not reported
Entity Name: FREITAS MANUEL
Affiliation Type Desc: Environmental Contact
Affiliation:

CERS Description: US EPA Air Emission Inventory System (EIS) CERS ID: 110019006332
Site ID: 493214
City,State,Zip: CUPERTINO, CA 950142507
Address: 10101 N WOLFE RD
Name: SEARS, #1468
CERS:

City,State,Zip: CUPERTINO, CA 95014
Address: 10101 N WOLFE RD
Name: SEARS, #1468
DFR URL:

Registry ID: 110019006332
Envid: 1008153180
ECHO:
additional FINDS: detail in the EDR Site Report.

Click this hyperlink while viewing on your computer to access transporters, and treatment, storage, and disposal facilities. provides information on hazardous waste shipments for generators, California’s Hazardous Waste Tracking System Data Mart (HWTS-DATAMART) Inventory (TRI).

California Integrated Water Quality System (CIWQS), andToxic Release Environmental Reporting System (CERS),EnviroStor, GeoTracker, systems managed within CalEPA. The five systems are: California combines and merges facility and site information from five different implemented a new data warehouse system (nSite). This data warehouse The California Environmental Protection Agency (CalEPA) has recently storers, and disposers of hazardous waste.
types of information about generators, transporters, treaters, Hazardous and Solid Waste Amendments (HSWA) of 1984. It tracks many Resource Conservation and Recovery Act (RCRA) of 1976 and the (RCRAInfo) is EPA’s comprehensive information system in support of the The Resource Conservation and Recovery Act Information System

IDENTIFY DUPLICATE OR MISSING FACILITIES
SEARS, #1468 (Continued) 1008153180
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Affiliation Phone: 4089183400,
Affiliation Zip: Not reported
Affiliation Country: Not reported
Affiliation State: CA
Affiliation City: SAN JOSE
Affiliation Address: 1555 Berger Drive, Suite 300
Entity Title: Not reported
Entity Name: DEH CASEWORKER - SANTA CLARA COUNTY LOP
Affiliation Type Desc: Local Agency Caseworker
Affiliation Phone: ,
Affiliation Zip: Not reported
Affiliation Country: Not reported
Affiliation State: CA
Affiliation City: OAKLAND
Affiliation Address: 1515 CLAY ST SUITE 1400
Entity Title: Not reported
Entity Name: Regional Water Board - SAN FRANCISCO BAY RWQCB (REGION 2) Affiliation Type Desc: Regional Board Caseworker
Affiliation:

CERS Description: Leaking Underground Storage Tank Cleanup Site CERS ID: T0608552828
Site ID: 878591
City,State,Zip: CUPERTINO, CA 95014
Address: 10101 N WOLFE RD
Name: SEARS AUTOMOTIVE CENTER
SEARS, #1468 (Continued) 1008153180
WHPA Facility Type: Not reported
WHPA Water Type: Not reported
WHPA PWS Facility ID: Not reported
Within WHPA: No
SPA HUC12: Not reported
SPA Facility Type: Not reported
SPA Water Type: Not reported
SPA PWS Facility ID: Not reported
Within SPA: No
Land Use: Developed, Medium Intensity
Domestic Wells within 1500ft: 0
Population within 1500ft: 1199
Substance: Not reported
Status: No Further Action
Reported Date: Not reported
Address Match Type: PointAddress
City,State,Zip: CUPERTINO, CA 95014
Address: 10101 N WOLFE RD
Name: SEARS AUTOMOTIVE CENTER
Lust ID: CAT0608552828
Facility ID: Not reported
Object ID: 44903
UST FINDER RELEASE:
443 ft. Site 4 of 8 in cluster E

0.084 mi.

Relative:

Lower
Actual:
195 ft.
< 1/8 CUPERTINO, CA 95014
North 10101 N WOLFE RD N/A
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Longitude: -122.0143
Latitude: 37.3246499999999
Y Coord: 37.3246500000001
X Coord: -122.0143
Coordinate Source: Geocode
Closed With Residual Contaminate: Not reported
NFA Letter 4: Not reported
NFA Letter 3: Not reported
NFA Letter 2: Not reported
NFA Letter 1: Not reported
EPA Region: 9
Tribe: Not reported
Within 100yr Floodplain: No
WHPA HUC12: Not reported
SEARS AUTOMOTIVE CENTER (Continued) 1029103597
Small Quantity On-Site Burner Exemption: No
Recycler Activity with Storage: No
Transfer Facility Activity: No
Transporter Activity: No
Mixed Waste Generator: No
Importer Activity: No
Short-Term Generator Activity: No
Operator Type: Private
Operator Name: Not Required
Owner Type: Private
Owner Name: Sears Roebuck & Co
Mailing City,State,Zip: CUPERTINO, CA 95014
Mailing Address: 10101 WOLFE RD
State District: 2
State District Owner: Ca
Active Site Indicator: Handler Activities
Accessibility: Not reported
Biennial Report Cycle: Not reported
Non-Notifier: Not reported
Federal Waste Generator Description: Small Quantity Generator Land Type: Other
EPA Region: 09
Contact Title: Not reported
Contact Email: Not reported
Contact Fax: Not reported
Contact Telephone: 408-246-1534
Contact City,State,Zip: CUPERTINO, CA 95014
Contact Address: 10101 WOLFE RD
Contact Name: FREITAS MANUEL
EPA ID: CAD983590241
Handler City,State,Zip: CUPERTINO, CA 95014
Handler Address: 10101 Wolfe Rd
Handler Name: Sears Roebuck & Co
Date Form Received by Agency: 19910709
RCRA Listings:

Cortese

CA FID UST
443 ft. Site 5 of 8 in cluster E HIST UST

0.084 mi. SWEEPS UST
Relative:

Lower
Actual:
195 ft.
< 1/8 CUPERTINO, CA 95014 HIST LUST
North 10101 WOLFE RD LUST CAD983590241
E47 SEARS ROEBUCK & CO RCRA-SQG 1000595131
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Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 415-555-1212
Owner/Operator City,State,Zip: NOT REQUIRED, ME 99999
Owner/Operator Address: NOT REQUIRED
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Private
Owner/Operator Name: NOT REQUIRED
Owner/Operator Indicator: Operator
Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 415-555-1212
Owner/Operator City,State,Zip: NOT REQUIRED, ME 99999
Owner/Operator Address: NOT REQUIRED
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Private
Owner/Operator Name: SEARS ROEBUCK & CO
Owner/Operator Indicator: Owner
Handler - Owner Operator:

Sub-Part P Indicator: No
Manifest Broker: No
Recycler Activity Without Storage: No
Exporter of Spent Lead Acid Batteries: No
Importer of Spent Lead Acid Batteries: No
Recognized Trader-Exporter: No
Recognized Trader-Importer: No
Handler Date of Last Change: 20020627
Financial Assurance Required: Not reported
Significant Non-Complier With a Compliance Schedule Universe: No Addressed Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Significant Non-Complier Universe: No
Groundwater Controls Indicator: N/A
Human Exposure Controls Indicator: N/A
Institutional Control Indicator: No
Environmental Control Indicator: No
Corrective Action Priority Ranking: No NCAPS ranking
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Subject to Corrective Action Universe: No
202 GPRA Corrective Action Baseline: No
2018 GPRA Renewals Baseline: Not on the Baseline
2018 GPRA Permit Baseline: Not on the Baseline
Sub-Part K Indicator: Not reported
Hazardous Secondary Material Indicator: N
Federal Facility Indicator: Not reported
Active Site State-Reg Handler: ---
Federal Universal Waste: No
Universal Waste Destination Facility: No
Universal Waste Indicator: No
Off-Site Waste Receipt: No
Underground Injection Control: No
Smelting Melting and Refining Furnace Exemption: No
SEARS ROEBUCK & CO (Continued) 1000595131
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How Discovered Description: Not reported
How Discovered: Not reported
Leak Reported Date: 01/01/1988
Begin Date: 01/01/1988
Quantity Released Gallons: Not reported
Coordinate Source: Google Map Move
EPA Region: 9
Potential Contaminants of Concern: Gasoline
Potential Media Affect: Soil
Local Case Number: Not reported
File Location: All Files are on GeoTracker or in the Local Agency Database Local Agency: SANTA CLARA COUNTY LOP
RB Case Number: Not reported
Case Worker: DEH
Status Date: 12/06/1999
Status: Completed - Case Closed
Longitude: -122.016584873199
Latitude: 37.3236049117193
Global Id: T0608552828
Geo Track:

Case Type: LUST Cleanup Site
Lead Agency: SANTA CLARA COUNTY LOP
City,State,Zip: CUPERTINO, CA 95014
Address: 10101 N WOLFE RD
Name: SEARS AUTOMOTIVE CENTER
LUST:

Evaluations: No Evaluations Found
Evaluation Action Summary:

Violations: No Violations Found
Facility Has Received Notices of Violations:

NAICS Description: Department Stores
NAICS Code: 45211
List of NAICS Codes and Descriptions:

Electronic Manifest Broker: Not reported
Non Storage Recycler Activity: Not reported
Current Record: Yes
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Ca
Federal Waste Generator Description: Small Quantity Generator Handler Name: SEARS ROEBUCK & CO
Receive Date: 19910709
Historic Generators:

Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
SEARS ROEBUCK & CO (Continued) 1000595131
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Elevation Site Database(s) EPA ID Number
Action: Leak Reported
Date: 01/01/1988
Action Type: Other
Global Id: T0608552828
Action: Other Report / Document
Date: 02/05/1999
Action Type: RESPONSE
Global Id: T0608552828
Action: Closure/No Further Action Letter
Date: 12/06/1999
Action Type: ENFORCEMENT
Global Id: T0608552828
Action: Staff Letter - #21887
Date: 02/02/1999
Action Type: ENFORCEMENT
Global Id: T0608552828
LUST:

Phone Number: Not reported
Email: Not reported
City: OAKLAND
Address: 1515 CLAY ST SUITE 1400
Organization Name: SAN FRANCISCO BAY RWQCB (REGION 2)
Contact Name: Regional Water Board
Contact Type: Regional Board Caseworker
Global Id: T0608552828
Phone Number: 4089183400
Email: [email protected]
City: SAN JOSE
Address: 1555 Berger Drive, Suite 300
Organization Name: SANTA CLARA COUNTY LOP
Contact Name: DEH CASEWORKER
Contact Type: Local Agency Caseworker - Primary Caseworker Global Id: T0608552828
LUST:

Site History: Not reported
Claim Status: Not reported
Claim Number: Not reported
RWQCB Region: SAN FRANCISCO BAY RWQCB (REGION 2)
Facility Project Subtype: Not reported
Military DOD Site: No
CA Enviroscreen 4 Score: 15-20%
CA Enviroscreen 3 Score: 26-30%
Disadvantaged Community: Not reported
Dwr Groundwater Subbasin Name: Santa Clara Valley - Santa Clara (2-009.02) CA Water Watershed Name: Santa Clara - Palo Alto (205.50) No Further Action Date: 12/06/1999
Stop Description: Not reported
Stop Method: Not reported
Discharge Cause: Not reported
Discharge Source: Not reported
SEARS ROEBUCK & CO (Continued) 1000595131
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Elevation Site Database(s) EPA ID Number
Board Of Equalization: 44-001401
Number: Not reported
Comp Number: 7020
Status: Not reported
City: CUPERTINO
Address: 10101 WOLFE RD
Name: SEARS, ROEBUCK AND CO.

SWEEPS UST:

Closed Date: 1999-12-06 00:00:00
Date Listed: 1989-01-01 00:00:00
Oversite Agency: SCVWD
SCVWD ID: 07S1W18G01
Region Code: 2
Region: SANTA CLARA
City: Cupertino
Address: 10101 N Wolfe Rd
Name: Sears Automotive Center
HIST LUST SC:

Date Post Remedial Action Monitoring Began: Not reported Date Remediation Action Underway: Not reported
Pollution Remediation Plan Submitted: Not reported
Pollution Characterization Began: Not reported
Preliminary Site Assesment Began: 11/3/1994
Prelim. Site Assesment Wokplan Submitted: Not reported
Oversight Program: LUST
Date Leak Confirmed: Not reported
Leak Source: Not reported
Leak Cause: Not reported
How Discovered: Not reported
Case Number: 07S1W18G01f
Facility Status: Case Closed
Facility Id: Not reported
Region: 2
LUST REG 2:

Status Date: 12/06/1999
Status: Completed - Case Closed
Global Id: T0608552828
Status Date: 11/03/1994
Status: Open - Site Assessment
Global Id: T0608552828
Status Date: 01/01/1988
Status: Open - Case Begin Date
Global Id: T0608552828
LUST:

Action: Soil and Water Investigation Workplan
Date: 03/15/1999
Action Type: RESPONSE
Global Id: T0608552828
SEARS ROEBUCK & CO (Continued) 1000595131
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Status: Not reported
City: CUPERTINO
Address: 10101 WOLFE RD
Name: SEARS, ROEBUCK AND CO.

Number Of Tanks: Not reported
Content: LEADED
STG: PRODUCT
Tank Use: M.V. FUEL
Active Date: Not reported
Capacity: 12000
Tank Status: Not reported
SWRCB Tank Id: 43-012-007020-000003
Owner Tank Id: Not reported
Created Date: Not reported
Action Date: Not reported
Referral Date: Not reported
Board Of Equalization: 44-001401
Number: Not reported
Comp Number: 7020
Status: Not reported
City: CUPERTINO
Address: 10101 WOLFE RD
Name: SEARS, ROEBUCK AND CO.

Number Of Tanks: Not reported
Content: REG UNLEADED
STG: PRODUCT
Tank Use: M.V. FUEL
Active Date: Not reported
Capacity: 5000
Tank Status: Not reported
SWRCB Tank Id: 43-012-007020-000002
Owner Tank Id: Not reported
Created Date: Not reported
Action Date: Not reported
Referral Date: Not reported
Board Of Equalization: 44-001401
Number: Not reported
Comp Number: 7020
Status: Not reported
City: CUPERTINO
Address: 10101 WOLFE RD
Name: SEARS, ROEBUCK AND CO.

Number Of Tanks: 7
Content: REG UNLEADED
STG: PRODUCT
Tank Use: M.V. FUEL
Active Date: Not reported
Capacity: 5000
Tank Status: Not reported
SWRCB Tank Id: 43-012-007020-000001
Owner Tank Id: Not reported
Created Date: Not reported
Action Date: Not reported
Referral Date: Not reported
SEARS ROEBUCK & CO (Continued) 1000595131
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Name: SEARS, ROEBUCK AND CO.

Number Of Tanks: Not reported
Content: Not reported
STG: PRODUCT
Tank Use: UNKNOWN
Active Date: Not reported
Capacity: 500
Tank Status: Not reported
SWRCB Tank Id: 43-012-007020-000006
Owner Tank Id: Not reported
Created Date: Not reported
Action Date: Not reported
Referral Date: Not reported
Board Of Equalization: 44-001401
Number: Not reported
Comp Number: 7020
Status: Not reported
City: CUPERTINO
Address: 10101 WOLFE RD
Name: SEARS, ROEBUCK AND CO.

Number Of Tanks: Not reported
Content: WASTE OIL
STG: WASTE
Tank Use: OIL
Active Date: Not reported
Capacity: 1000
Tank Status: Not reported
SWRCB Tank Id: 43-012-007020-000005
Owner Tank Id: Not reported
Created Date: Not reported
Action Date: Not reported
Referral Date: Not reported
Board Of Equalization: 44-001401
Number: Not reported
Comp Number: 7020
Status: Not reported
City: CUPERTINO
Address: 10101 WOLFE RD
Name: SEARS, ROEBUCK AND CO.

Number Of Tanks: Not reported
Content: REG UNLEADED
STG: PRODUCT
Tank Use: M.V. FUEL
Active Date: Not reported
Capacity: 12000
Tank Status: Not reported
SWRCB Tank Id: 43-012-007020-000004
Owner Tank Id: Not reported
Created Date: Not reported
Action Date: Not reported
Referral Date: Not reported
Board Of Equalization: 44-001401
Number: Not reported
Comp Number: 7020
SEARS ROEBUCK & CO (Continued) 1000595131
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Elevation Site Database(s) EPA ID Number
Year Installed: 1970
Container Num: 3
Tank Num: 003
Leak Detection: None
Container Construction Thickness: Not reported
Type of Fuel: PREMIUM
Tank Used for: PRODUCT
Tank Capacity: 00005000
Year Installed: 1970
Container Num: 2
Tank Num: 002
Leak Detection: None
Container Construction Thickness: Not reported
Type of Fuel: PREMIUM
Tank Used for: PRODUCT
Tank Capacity: 00005000
Year Installed: 1970
Container Num: 1
Tank Num: 001
Total Tanks: 0014
Owner City,St,Zip: CUPERTINO, CA 95014
Owner Address: 10101 WOLFE ROAD
Owner Name: SEARS, ROEBUCK AND CO.

Telephone: 4082550222
Contact Name: J. R. HOUSE, STORE MANAGER
Other Type: RETAIL COMPANY
Facility Type: Other
Facility ID: 00000007020
Region: STATE
URL: Not reported
File Number: Not reported
City,State,Zip: CUPERTINO, CA 95014
Address: 10101 N WOLFE RD
Name: SEARS, ROEBUCK AND CO.

HIST UST:

Number Of Tanks: Not reported
Content: Not reported
STG: PRODUCT
Tank Use: UNKNOWN
Active Date: Not reported
Capacity: 500
Tank Status: Not reported
SWRCB Tank Id: 43-012-007020-000007
Owner Tank Id: Not reported
Created Date: Not reported
Action Date: Not reported
Referral Date: Not reported
Board Of Equalization: 44-001401
Number: Not reported
Comp Number: 7020
Status: Not reported
City: CUPERTINO
Address: 10101 WOLFE RD
SEARS ROEBUCK & CO (Continued) 1000595131
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Elevation Site Database(s) EPA ID Number
Type of Fuel: Not reported
Tank Used for: PRODUCT
Tank Capacity: 00000500
Year Installed: 1970
Container Num: 2
Tank Num: 009
Leak Detection: None
Container Construction Thickness: Not reported
Type of Fuel: WASTE OIL
Tank Used for: WASTE
Tank Capacity: 00001000
Year Installed: 1970
Container Num: 1
Tank Num: 008
Leak Detection: None
Container Construction Thickness: Not reported
Type of Fuel: Not reported
Tank Used for: PRODUCT
Tank Capacity: 00000500
Year Installed: 1970
Container Num: 7
Tank Num: 007
Leak Detection: Not reported
Container Construction Thickness: UNKNOWN
Type of Fuel: Not reported
Tank Used for: PRODUCT
Tank Capacity: 00000500
Year Installed: 1970
Container Num: 6
Tank Num: 006
Leak Detection: None
Container Construction Thickness: Not reported
Type of Fuel: WASTE OIL
Tank Used for: WASTE
Tank Capacity: 00001000
Year Installed: 1970
Container Num: 5
Tank Num: 005
Leak Detection: None
Container Construction Thickness: Not reported
Type of Fuel: UNLEADED
Tank Used for: PRODUCT
Tank Capacity: 00012000
Year Installed: 1970
Container Num: 4
Tank Num: 004
Leak Detection: None
Container Construction Thickness: Not reported
Type of Fuel: REGULAR
Tank Used for: PRODUCT
Tank Capacity: 00012000
SEARS ROEBUCK & CO (Continued) 1000595131
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Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Mailing Address: 10101 WOLFE RD
Mail To: Not reported
Facility Phone: 4082550222
SIC Code: Not reported
Cortese Code: Not reported
Regulated ID: 00007020
Regulated By: UTNKI
Facility ID: 43007398
CA FID UST:

Leak Detection: None
Container Construction Thickness: Not reported
Type of Fuel: PREMIUM
Tank Used for: PRODUCT
Tank Capacity: 00005000
Year Installed: 1970
Container Num: 7
Tank Num: 014
Leak Detection: None
Container Construction Thickness: Not reported
Type of Fuel: PREMIUM
Tank Used for: PRODUCT
Tank Capacity: 00005000
Year Installed: 1970
Container Num: 6
Tank Num: 013
Leak Detection: None
Container Construction Thickness: Not reported
Type of Fuel: REGULAR
Tank Used for: PRODUCT
Tank Capacity: 00012000
Year Installed: 1970
Container Num: 5
Tank Num: 012
Leak Detection: None
Container Construction Thickness: Not reported
Type of Fuel: UNLEADED
Tank Used for: PRODUCT
Tank Capacity: 00012000
Year Installed: 1970
Container Num: 4
Tank Num: 011
Leak Detection: None
Container Construction Thickness: Not reported
Type of Fuel: Not reported
Tank Used for: PRODUCT
Tank Capacity: 00000500
Year Installed: 1970
Container Num: 3
Tank Num: 010
Leak Detection: None
Container Construction Thickness: Not reported
SEARS ROEBUCK & CO (Continued) 1000595131
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Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
File Name: Active Open
Waste Management Uit Name: Not reported
Solid Waste Id No: Not reported
WID Id: Not reported
Region 2: Not reported
Effective Date: Not reported
Waste Discharge System No: Not reported
Order No: Not reported
Flag: active
Swat R: Not reported
Enf Type: Not reported
Owner: Not reported
Longitude: Not reported
Latitude: Not reported
Site Code: Not reported
Status Date: Not reported
Cleanup Status: COMPLETED - CASE CLOSED
Site/Facility Type: LUST CLEANUP SITE
Global ID: T0608552828
Envirostor Id: Not reported
Region: CORTESE
City,State,Zip: CUPERTINO, CA 95014
Address: 10101 N WOLFE RD
Name: SEARS AUTOMOTIVE CENTER
CORTESE:

Status: Inactive
Comments: Not reported
EPA ID: Not reported
NPDES Number: Not reported
DUNs Number: Not reported
Contact Phone: Not reported
Contact: Not reported
Mailing City,St,Zip: CUPERTINO 95014
Mailing Address 2: Not reported
SEARS ROEBUCK & CO (Continued) 1000595131
Facility ID: FA0200589
Record ID: PR0313949
Longitude: -122.014432
Latitude: 37.32496
Program Identifier: DEH PERMIT-HAZ WASTE GENERATOR PROGRAM Program Description: GENERATES 100 KG TO < 5 TONS/YEAR
PE#: 2205
UDF Email: [email protected]
Telephone: 4082550222
Region: SANTA CLARA
City,State,Zip: CUPERTINO, CA 95014
Address: 10101 N WOLFE RD
Name: SEARS AUTO CENTER #6939
CUPA SANTA CLARA:
443 ft. Site 6 of 8 in cluster E

0.084 mi.

Relative:

Lower
Actual:
195 ft.
< 1/8 CUPERTINO, CA 95014
North 10101 N WOLFE RD N/A
E48 SEARS AUTO CENTER #6939 CUPA Listings S121468416
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Elevation Site Database(s) EPA ID Number
Facility ID: FA0200589
Record ID: PR0399756
Longitude: -122.014432
Latitude: 37.32496
Program Identifier: DEH PERMIT-ABOVEGROUND PETROLEUM STORAGE ACT PROGRAM Program Description: APSA FACILITY-SPCC TEMPLATE(<10,000 GAL CAP) PE#: 2011
UDF Email: [email protected]
Telephone: 4082550222
Region: SANTA CLARA
City,State,Zip: CUPERTINO, CA 95014
Address: 10101 N WOLFE RD
Name: SEARS AUTO CENTER #6939
SEARS AUTO CENTER #6939 (Continued) S121468416
Off-Site Waste Receipt: No
Underground Injection Control: No
Smelting Melting and Refining Furnace Exemption: No
Small Quantity On-Site Burner Exemption: No
Recycler Activity with Storage: No
Transfer Facility Activity: No
Transporter Activity: No
Mixed Waste Generator: No
Importer Activity: No
Short-Term Generator Activity: No
Operator Type: Other
Operator Name: Richard Williams
Owner Type: Other
Owner Name: Badger Daylighting
Mailing City,State,Zip: SAN JOSE, CA 95112
Mailing Address: 1420 INDUSTRIAL AVENUE
State District: Not reported
State District Owner: Not reported
Active Site Indicator: Not reported
Accessibility: Not reported
Biennial Report Cycle: Not reported
Non-Notifier: Not reported
Federal Waste Generator Description: Not a generator, verified Land Type: Not reported
EPA Region: 09
Contact Title: Not reported
Contact Email: [email protected]
Contact Fax: Not reported
Contact Telephone: 408-878-5712
Contact City,State,Zip: SAN JOSE, CA 95112
Contact Address: 1420 INDUSTRIAL AVENUE
Contact Name: RICHARD WILLIAMS
EPA ID: CAC003135042
Handler City,State,Zip: CUPERTINO, CA 95014
Handler Address: 10101 North Wolfe Road
Handler Name: Badger Daylighting
Date Form Received by Agency: 20210818
RCRA Listings:
443 ft. Site 7 of 8 in cluster E

0.084 mi.

Relative:

Lower
Actual:
195 ft.
< 1/8 CUPERTINO, CA 95014
North 10101 NORTH WOLFE ROAD E MANIFEST CAC003135042
E49 BADGER DAYLIGHTING RCRA NonGen / NLR 1026822091
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Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 408-878-5712
Owner/Operator City,State,Zip: SAN JOSE, CA 95112
Owner/Operator Address: 1420 INDUSTRIAL AVENUE
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: RICHARD WILLIAMS
Owner/Operator Indicator: Operator
Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 408-878-5712
Owner/Operator City,State,Zip: SAN JOSE, CA 95112
Owner/Operator Address: 1420 INDUSTRIAL AVENUE
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: BADGER DAYLIGHTING
Owner/Operator Indicator: Owner
Handler - Owner Operator:

Sub-Part P Indicator: No
Manifest Broker: No
Recycler Activity Without Storage: No
Exporter of Spent Lead Acid Batteries: No
Importer of Spent Lead Acid Batteries: No
Recognized Trader-Exporter: No
Recognized Trader-Importer: No
Handler Date of Last Change: 20210818
Financial Assurance Required: Not reported
Significant Non-Complier With a Compliance Schedule Universe: No Addressed Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Significant Non-Complier Universe: No
Groundwater Controls Indicator: N/A
Human Exposure Controls Indicator: N/A
Institutional Control Indicator: No
Environmental Control Indicator: No
Corrective Action Priority Ranking: No NCAPS ranking
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Subject to Corrective Action Universe: No
202 GPRA Corrective Action Baseline: No
2018 GPRA Renewals Baseline: Not on the Baseline
2018 GPRA Permit Baseline: Not on the Baseline
Sub-Part K Indicator: Not reported
Hazardous Secondary Material Indicator: N
Federal Facility Indicator: Not reported
Active Site State-Reg Handler: ---
Federal Universal Waste: No
Universal Waste Destination Facility: No
Universal Waste Indicator: No
BADGER DAYLIGHTING (Continued) 1026822091
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Designated Facility Mail Zip: 87107
Designated Facility Mail City: ALBUQUERQUE
Designated Facility Mail Street 2: EDITH BLVD NE
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 6133
Designated Facility Name: Advanced Chemical Treatment, Llc Designated Facility EPA ID: NMD002208627
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 95112
Generator Mail City: SAN JOSE
Generator Mail Street 2: Not reported
Generator Mail Street 1: 1420 INDUSTRIAL AVENUE
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10101 NORTH WOLFE ROAD
Generator Location Street Number: Not reported
Generator Name: Badger Daylighting
Generator EPA ID: CAC003135042
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20210910
Shipped Date: 20210825
Last Updated Date: 20210928
Manifest Tracking Number: 016353830FLE
E MANIFEST:

Evaluations: No Evaluations Found
Evaluation Action Summary:

Violations: No Violations Found
Facility Has Received Notices of Violations:

NAICS Description: Construction Machinery Manufacturing NAICS Code: 333120
List of NAICS Codes and Descriptions:

Electronic Manifest Broker: No
Non Storage Recycler Activity: No
Current Record: Yes
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Not a generator, verified Handler Name: BADGER DAYLIGHTING
Receive Date: 20210818
Historic Generators:

BADGER DAYLIGHTING (Continued) 1026822091
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Elevation Site Database(s) EPA ID Number
Transporter Name: Advanced Chemical Transport Inc. Dba Actenviro Transporter EPA ID: CAR000070540
Transporter Line Number: 1
Manifest Tracking Number: 016353850FLE
Transporter:

Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: NM
Designated Facility Location Zip: 87107
Designated Facility Location City: ALBUQUERQUE
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: EDITH BLVD NE
Designated Facility Location Street Number: 6133
Designated Facility Mail State: NM
Designated Facility Mail Zip: 87107
Designated Facility Mail City: ALBUQUERQUE
Designated Facility Mail Street 2: EDITH BLVD NE
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 6133
Designated Facility Name: Advanced Chemical Treatment, Llc Designated Facility EPA ID: NMD002208627
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 95112
Generator Mail City: SAN JOSE
Generator Mail Street 2: Not reported
Generator Mail Street 1: 1420 INDUSTRIAL AVENUE
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10101 NORTH WOLFE ROAD
Generator Location Street Number: Not reported
Generator Name: Badger Daylighting
Generator EPA ID: CAC003135042
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Corrected
Received Date: 20210910
Shipped Date: 20210818
Last Updated Date: 20211008
Manifest Tracking Number: 016353850FLE
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: NM
Designated Facility Location Zip: 87107
Designated Facility Location City: ALBUQUERQUE
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: EDITH BLVD NE
Designated Facility Location Street Number: 6133
Designated Facility Mail State: NM
BADGER DAYLIGHTING (Continued) 1026822091
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Elevation Site Database(s) EPA ID Number
U.S. DOT Description: Not reported
U.S. DOT ID Number: Not reported
U.S. DOT Hazardous Indicator: N
Waste Line Number: 2
Manifest Tracking Number: 016353850FLE
State Waste Codes: CA-352
Quantity Non Haz Tons: 0.5435
Quantity Non Haz Kg: 492.97083
Quantity Haz Tons: 0
Quantity Haz Kg: 0
Federal Waste Codes: Not reported
EPA Waste Indicator: N
Consent Number: Not reported
Waste Minimization Code Description: Not reported
Waste Minimization Code: Not reported
Source Code Description: Not reported
Source Code: Not reported
Form Code Description: Not reported
Form Code: Not reported
Waste Density Unit of Measure Description: Not reported Waste Density Unit of Measure Code: Not reported
Waste Density: Not reported
Waste Type Discrepancy Indicator: N
Quantity Discrepancy Indicator: N
Waste Residue Indicator: N
Management Method Description: STORAGE, BULKING AND/OR TRANSFER OFF SITE Management Method Code: H141
Non-Acute Waste Quantity, in Kilorgrams: 492.97083
Acute Waste Quantity, in Kilograms: 0
Waste Quantity, in Kilograms: 492.97083
Non-Acute Waste Quantity, in Tons: 0.5435
Acute Waste Quantity, in Tons: 0
Waste Quantity, in Tons: 0.5435
Quantity Unit of Measure Description: Pounds
Quantity Unit of Measure Code: P
Waste Quantity: 1087
Container Type Description: Metal drums, barrels, kegs
Container Type Code: DM
Number of Containers: 2
Non-Hazardous Waste Description: Non Rcra Hazardous Waste Solid (Tph Debris, Hydraulic Oil) U.S. DOT Description: Not reported
U.S. DOT ID Number: Not reported
U.S. DOT Hazardous Indicator: N
Waste Line Number: 1
Manifest Tracking Number: 016353850FLE
Waste Line:

Transporter Name: Advanced Chemical Transport Inc. Dba Actenviro Transporter EPA ID: CAR000070540
Transporter Line Number: 3
Manifest Tracking Number: 016353850FLE
Transporter Name: Remedial Transportation Services Inc Dba Rts Transporter EPA ID: CAR000181560
Transporter Line Number: 2
Manifest Tracking Number: 016353850FLE
BADGER DAYLIGHTING (Continued) 1026822091
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Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
State Waste Codes: CA-352
Quantity Non Haz Tons: 0.03
Quantity Non Haz Kg: 27.2109
Quantity Haz Tons: 0
Quantity Haz Kg: 0
Federal Waste Codes: Not reported
EPA Waste Indicator: N
Consent Number: Not reported
Waste Minimization Code Description: Not reported
Waste Minimization Code: Not reported
Source Code Description: Not reported
Source Code: Not reported
Form Code Description: Not reported
Form Code: Not reported
Waste Density Unit of Measure Description: Not reported Waste Density Unit of Measure Code: Not reported
Waste Density: Not reported
Waste Type Discrepancy Indicator: N
Quantity Discrepancy Indicator: N
Waste Residue Indicator: N
Management Method Description: STORAGE, BULKING AND/OR TRANSFER OFF SITE Management Method Code: H141
Non-Acute Waste Quantity, in Kilorgrams: 27.2109
Acute Waste Quantity, in Kilograms: 0
Waste Quantity, in Kilograms: 27.2109
Non-Acute Waste Quantity, in Tons: 0.03
Acute Waste Quantity, in Tons: 0
Waste Quantity, in Tons: 0.03
Quantity Unit of Measure Description: Pounds
Quantity Unit of Measure Code: P
Waste Quantity: 60
Container Type Description: Fiberboard or plastic drums, barrels, kegs Container Type Code: DF
Number of Containers: 1
Non-Hazardous Waste Description: Non Rcra Hazardous Solid (Tph Debris, Hydraulic Oil) BADGER DAYLIGHTING (Continued) 1026822091
Facility ID: FA0230517
Record ID: PR0330553
Longitude: -122.014432
Latitude: 37.32496
Program Identifier: DEH PERMIT-HAZ WASTE GENERATOR PROGRAM Program Description: GENERATES 5 TO <25 TONS/YEAR
PE#: 2206
UDF Email: Not reported
Telephone: Not reported
Region: SANTA CLARA
City,State,Zip: CUPERTINO, CA 95014
Address: 10101 WOLFE RD
Name: JIFFY LUBE #1615
CUPA SANTA CLARA:
443 ft. Site 8 of 8 in cluster E

0.084 mi.

Relative:

Lower
Actual:
195 ft.
< 1/8 CUPERTINO, CA 95014
North 10101 WOLFE RD N/A
E50 JIFFY LUBE #1615 CUPA Listings S121471280
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Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Facility ID: FA0200807
Record ID: PR0314958
Longitude: -122.018837
Latitude: 37.322701
Program Identifier: DEH PERMIT-HAZ WASTE GENERATOR PROGRAM Program Description: GENERATES 100 KG TO < 5 TONS/YEAR
PE#: 2205
UDF Email: Not reported
Telephone: 4082537270
Region: SANTA CLARA
City,State,Zip: CUPERTINO, CA 95014
Address: 19744 STEVENS CREEK BL
Name: ONE HOUR PHOTO SERVICE
CUPA SANTA CLARA:
474 ft. Site 3 of 7 in cluster C

0.090 mi.

Relative:

Higher
Actual:
200 ft.
< 1/8 CUPERTINO, CA 95014
West 19744 STEVENS CREEK BL N/A
C51 ONE HOUR PHOTO SERVICE CUPA Listings S121468457
2011 HOLIDAY CLEANERS Drycleaning Plants, Except Rugs
2010 HOLIDAY CLEANERS Drycleaning Plants, Except Rugs
2009 HOLIDAY CLEANERS Drycleaning Plants, Except Rugs
2008 KAROBAIE FLORA Drycleaning Plants, Except Rugs
2008 HOLIDAY CLEANERS Drycleaning Plants, Except Rugs
2007 HOLIDAY CLEANERS Drycleaning Plants, Except Rugs
2007 KAROBAIE FLORA Drycleaning Plants, Except Rugs
2006 KAROBAIE FLORA Drycleaning Plants, Except Rugs
2006 HOLIDAY CLEANERS Drycleaning Plants, Except Rugs
2005 HOLIDAY CLEANERS Drycleaning Plants, Except Rugs
2005 KAROBAIE FLORA Drycleaning Plants, Except Rugs
2004 HOLIDAY CLEANERS Drycleaning Plants, Except Rugs
2004 KAROBAIE FLORA Drycleaning Plants, Except Rugs
2003 HOLIDAY CLEANERS Drycleaning Plants, Except Rugs
2002 HOLIDAY CLEANERS Drycleaning Plants, Except Rugs
2001 HOLIDAY CLEANERS Drycleaning Plants, Except Rugs
2000 HOLIDAY CLEANERS Drycleaning Plants, Except Rugs
1999 HOLIDAY CLEANERS Drycleaning Plants, Except Rugs
1998 HOLIDAY CLEANERS Drycleaning Plants, Except Rugs
1997 HOLIDAY CLEANERS Drycleaning Plants, Except Rugs
1996 HOLIDAY CLEANERS Drycleaning Plants, Except Rugs
1995 HOLIDAY CLEANERS Drycleaning Plants, Except Rugs
1994 HOLIDAY CLEANERS Drycleaning Plants, Except Rugs
1993 HOLIDAY CLEANERS Drycleaning Plants, Except Rugs
1992 HOLIDAY CLEANERS Drycleaning Plants, Except Rugs
Year: Name: Type:

EDR Hist Cleaner
474 ft. Site 4 of 7 in cluster C

0.090 mi.

Relative:

Higher
Actual:
200 ft.
< 1/8 CUPERTINO, CA 95014
West 19720 STEVENS CREEK BLVD N/A
C52 HOLIDAY CLEANERS EDR Hist Cleaner 1020005468
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Map ID MAP FINDINGS
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Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
PE#: 2205
UDF Email: Not reported
Telephone: 4089963334
Region: SANTA CLARA
City,State,Zip: CUPERTINO, CA 95014
Address: 19720 STEVENS CREEK BL
Name: HOLIDAY CLEANERS
CUPA SANTA CLARA:

Click here to access the California GeoTracker records for this facility:

Site History: Not reported
Claim Status: Not reported
Claim No: Not reported
RWQCB Region: SAN FRANCISCO BAY RWQCB (REGION 2)
Facility Project Subtype: Not reported
Military DOD Site: No
CA Enviroscreen 4 Score: 15-20%
CA Enviroscreen 3 Score: 16-20%
Disadvantaged Community: Not reported
Dwr Groundwater Subbasin Name: Not reported
CA Water Watershed Name: Not reported
No Further Action Date: Not reported
Stop Description: Not reported
Stop Method: Not reported
Discharge Cause: Not reported
Discharge Source: Not reported
How Discovered Description: Not reported
How Discovered: Not reported
Leak Reported Date: Not reported
Begin Date: 01/12/2021
Quantity Released Gallons: Not reported
Coordinate Source: Not reported
EPA Region: 9
Potential Contaminants of Concern: Tetrachloroethylene (PCE) Potential Media Affected: Soil Vapor, Under Investigation File Location: Not reported
RB Case Number: Not reported
Local Agency: SANTA CLARA COUNTY LOP
Case Worker: HH
Case Type: Cleanup Program Site
Longitude: -122.01811
Latitude: 37.32184
Lead Agency Case Number: 2021-04s
Lead Agency: SANTA CLARA COUNTY LOP
Global Id: T10000016970
Status Date: 04/01/2021
Facility Status: Open - Assessment & Interim Remedial Action Region: STATE
City,State,Zip: CUPERTINO, CA 95014
Address: 19720 STEVENS CREEK BLVD.

Name: 19720 STEVENS CREEK BLVD.

CPS-SLIC:
474 ft. Site 5 of 7 in cluster C

0.090 mi.

Relative:

Higher
Actual:
200 ft.
< 1/8 CUPERTINO, CA 95014
West 19720 STEVENS CREEK BLVD. CUPA Listings N/A
C53 19720 STEVENS CREEK BLVD. CPS-SLIC S121468456
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Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Facility ID: FA0200803
Record ID: PR0314957
Longitude: -122.018608
Latitude: 37.322701
Program Identifier: DEH PERMIT-HAZ WASTE GENERATOR PROGRAM Program Description: GENERATES 100 KG TO < 5 TONS/YEAR
19720 STEVENS CREEK BLVD. (Continued) S121468456
Mailing Name: Not reported
Contact Fax: Not reported
Contact Telephone: 4082305885
Contact Address 2: Not reported
Contact Address: 19720 STEVENS CREEK BLVD
Contact Name: STACEY JANG
Owner Telephone: 4082305885
Owner Address 2: Not reported
Owner Address: 18476 CHELMSFORD DR
Owner Name: YOUNG JANG
Facility Addr2: Not reported
Inactive Date: 03/13/2009
Facility Active: No
Create Date: 11/07/2008
SIC Description: Power Laundries, Family and Commercial SIC Code: 7211
NAICS Description: Drycleaning and Laundry Services (except Coin-Operated) NAICS Code: 81232
EPA Id: CAL000337795
City,State,Zip: CUPERTINO, CA 950142456
Address: 19720 STEVENS CREEK BLVD
Name: HOLIDAY CLEANERS
DRYCLEANERS:
additional FINDS: detail in the EDR Site Report.

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IDENTIFY DUPLICATE OR MISSING FACILITIES

STABLE IDENTIFIERS TO IMPROVE CONTINUITY FROM YEAR TO YEAR AND TO HELP

INVENTORY DATA ARE KEPT SEPARATE FROM THE EMISSIONS DATA AND HAVE RELEASE POINTS, CONTROL APPROACHES, AND REGULATIONS. FACILITY

AND THEIR PHYSICAL LOCATION, EMISSIONS UNITS, EMISSIONS PROCESSES, POINT POLLUTANT EMITTERS. IT CONTAINS INFORMATION ABOUT FACILITY SITES

STATIONARY SOURCES AND VOLUNTARILY-REPORTED SMALLER SOURCES OF AIR

THE EMISSION INVENTORY SYSTEM (EIS) MAINTAINS AN INVENTORY OF LARGE Environmental Interest/Information System:

Click Here for FRS Facility Detail Report:

Registry ID: 110002411113
Environmental Interest/Information System:

Click Here for FRS Facility Detail Report:

Registry ID: 110071744212
FINDS:
474 ft. Site 6 of 7 in cluster C

0.090 mi. CERS
Relative:

Higher
Actual:
200 ft.
< 1/8 CUPERTINO, CA 95014 EMI
West 19720 STEVENS CREEK BLVD DRYCLEANERS N/A
C54 HOLIDAY CLEANERS OF AMERICA FINDS 1005775162
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Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Air Basin: SF
County Code: 43
Year: 1997
City,State,Zip: CUPERTINO, CA 95014
Address: 19720 STEVENS CREEK BLVD
Name: HOLIDAY CLEANERS OF AMERICA
Part. Matter 10 Micrometers and Smllr Tons/Yr: 0
Particulate Matter Tons/Yr: 0
SOX - Oxides of Sulphur Tons/Yr: 0
NOX - Oxides of Nitrogen Tons/Yr: 0
Carbon Monoxide Emissions Tons/Yr: 0
Reactive Organic Gases Tons/Yr: 0
Total Organic Hydrocarbon Gases Tons/Yr: 0
Consolidated Emission Reporting Rule: Not reported
Community Health Air Pollution Info System: Not reported Air District Name: BAY AREA AQMD
SIC Code: 7216
Air District Name: BA
Facility ID: 7530
Air Basin: SF
County Code: 43
Year: 1996
City,State,Zip: CUPERTINO, CA 95014
Address: 19720 STEVENS CREEK BLVD
Name: HOLIDAY CLEANERS OF AMERICA
Part. Matter 10 Micrometers and Smllr Tons/Yr: 0
Particulate Matter Tons/Yr: 0
SOX - Oxides of Sulphur Tons/Yr: 0
NOX - Oxides of Nitrogen Tons/Yr: 0
Carbon Monoxide Emissions Tons/Yr: 0
Reactive Organic Gases Tons/Yr: 0
Total Organic Hydrocarbon Gases Tons/Yr: 0
Consolidated Emission Reporting Rule: Not reported
Community Health Air Pollution Info System: Not reported Air District Name: BAY AREA AQMD
SIC Code: 7216
Air District Name: BA
Facility ID: 7530
Air Basin: SF
County Code: 43
Year: 1993
City,State,Zip: CUPERTINO, CA 95014
Address: 19720 STEVENS CREEK BLVD
Name: HOLIDAY CLEANERS OF AMERICA
EMI:

Longitude: -122.01778
Latitude: 37.322744
Region Code: 2
Owner Fax: Not reported
Mailing Zip: 950146405
Mailing State: CA
Mailing City: CUPERTINO
Mailing Address 2: Not reported
Mailing Address 1: 18476 CHELMSFORD DR
HOLIDAY CLEANERS OF AMERICA (Continued) 1005775162
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Distance EDR ID Number
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City,State,Zip: CUPERTINO, CA 95014
Address: 19720 STEVENS CREEK BLVD
Name: HOLIDAY CLEANERS OF AMERICA
Part. Matter 10 Micrometers and Smllr Tons/Yr: 0
Particulate Matter Tons/Yr: 0
SOX - Oxides of Sulphur Tons/Yr: 0
NOX - Oxides of Nitrogen Tons/Yr: 0
Carbon Monoxide Emissions Tons/Yr: 0
Reactive Organic Gases Tons/Yr: 0
Total Organic Hydrocarbon Gases Tons/Yr: 0
Consolidated Emission Reporting Rule: Not reported
Community Health Air Pollution Info System: Not reported Air District Name: BAY AREA AQMD
SIC Code: 7216
Air District Name: BA
Facility ID: 7530
Air Basin: SF
County Code: 43
Year: 1999
City,State,Zip: CUPERTINO, CA 95014
Address: 19720 STEVENS CREEK BLVD
Name: HOLIDAY CLEANERS OF AMERICA
Part. Matter 10 Micrometers and Smllr Tons/Yr: 0
Particulate Matter Tons/Yr: 0
SOX - Oxides of Sulphur Tons/Yr: 0
NOX - Oxides of Nitrogen Tons/Yr: 0
Carbon Monoxide Emissions Tons/Yr: 0
Reactive Organic Gases Tons/Yr: 0
Total Organic Hydrocarbon Gases Tons/Yr: 0
Consolidated Emission Reporting Rule: Not reported
Community Health Air Pollution Info System: Not reported Air District Name: BAY AREA AQMD
SIC Code: 7216
Air District Name: BA
Facility ID: 7530
Air Basin: SF
County Code: 43
Year: 1998
City,State,Zip: CUPERTINO, CA 95014
Address: 19720 STEVENS CREEK BLVD
Name: HOLIDAY CLEANERS OF AMERICA
Part. Matter 10 Micrometers and Smllr Tons/Yr: 0
Particulate Matter Tons/Yr: 0
SOX - Oxides of Sulphur Tons/Yr: 0
NOX - Oxides of Nitrogen Tons/Yr: 0
Carbon Monoxide Emissions Tons/Yr: 0
Reactive Organic Gases Tons/Yr: 0
Total Organic Hydrocarbon Gases Tons/Yr: 0
Consolidated Emission Reporting Rule: Not reported
Community Health Air Pollution Info System: Not reported Air District Name: BAY AREA AQMD
SIC Code: 7216
Air District Name: BA
Facility ID: 7530
HOLIDAY CLEANERS OF AMERICA (Continued) 1005775162
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Part. Matter 10 Micrometers and Smllr Tons/Yr: 0
Particulate Matter Tons/Yr: 0
SOX - Oxides of Sulphur Tons/Yr: 0
NOX - Oxides of Nitrogen Tons/Yr: 0
Carbon Monoxide Emissions Tons/Yr: 0
Reactive Organic Gases Tons/Yr: 0
Total Organic Hydrocarbon Gases Tons/Yr: 0
Consolidated Emission Reporting Rule: Not reported
Community Health Air Pollution Info System: Not reported Air District Name: BAY AREA AQMD
SIC Code: 7216
Air District Name: BA
Facility ID: 7530
Air Basin: SF
County Code: 43
Year: 2002
City,State,Zip: CUPERTINO, CA 95014
Address: 19720 STEVENS CREEK BLVD
Name: HOLIDAY CLEANERS OF AMERICA
Part. Matter 10 Micrometers and Smllr Tons/Yr: 0
Particulate Matter Tons/Yr: 0
SOX - Oxides of Sulphur Tons/Yr: 0
NOX - Oxides of Nitrogen Tons/Yr: 0
Carbon Monoxide Emissions Tons/Yr: 0
Reactive Organic Gases Tons/Yr: 0
Total Organic Hydrocarbon Gases Tons/Yr: 0
Consolidated Emission Reporting Rule: Not reported
Community Health Air Pollution Info System: Not reported Air District Name: BAY AREA AQMD
SIC Code: 7216
Air District Name: BA
Facility ID: 7530
Air Basin: SF
County Code: 43
Year: 2001
City,State,Zip: CUPERTINO, CA 95014
Address: 19720 STEVENS CREEK BLVD
Name: HOLIDAY CLEANERS OF AMERICA
Part. Matter 10 Micrometers and Smllr Tons/Yr: 0
Particulate Matter Tons/Yr: 0
SOX - Oxides of Sulphur Tons/Yr: 0
NOX - Oxides of Nitrogen Tons/Yr: 0
Carbon Monoxide Emissions Tons/Yr: 0
Reactive Organic Gases Tons/Yr: 0
Total Organic Hydrocarbon Gases Tons/Yr: 0
Consolidated Emission Reporting Rule: Not reported
Community Health Air Pollution Info System: Not reported Air District Name: BAY AREA AQMD
SIC Code: 7216
Air District Name: BA
Facility ID: 7530
Air Basin: SF
County Code: 43
Year: 2000
HOLIDAY CLEANERS OF AMERICA (Continued) 1005775162
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SOX - Oxides of Sulphur Tons/Yr: 0
NOX - Oxides of Nitrogen Tons/Yr: 0
Carbon Monoxide Emissions Tons/Yr: 0
Reactive Organic Gases Tons/Yr: 0
Total Organic Hydrocarbon Gases Tons/Yr: 0
Consolidated Emission Reporting Rule: Not reported
Community Health Air Pollution Info System: Not reported Air District Name: BAY AREA AQMD
SIC Code: 7216
Air District Name: BA
Facility ID: 7530
Air Basin: SF
County Code: 43
Year: 2005
City,State,Zip: CUPERTINO, CA 95014
Address: 19720 STEVENS CREEK BLVD
Name: HOLIDAY CLEANERS OF AMERICA
Part. Matter 10 Micrometers and Smllr Tons/Yr: 0
Particulate Matter Tons/Yr: 0
SOX - Oxides of Sulphur Tons/Yr: 0
NOX - Oxides of Nitrogen Tons/Yr: 0
Carbon Monoxide Emissions Tons/Yr: 0
Reactive Organic Gases Tons/Yr: 0
Total Organic Hydrocarbon Gases Tons/Yr: 0.406
Consolidated Emission Reporting Rule: Not reported
Community Health Air Pollution Info System: Not reported Air District Name: BAY AREA AQMD
SIC Code: 7216
Air District Name: BA
Facility ID: 7530
Air Basin: SF
County Code: 43
Year: 2004
City,State,Zip: CUPERTINO, CA 95014
Address: 19720 STEVENS CREEK BLVD
Name: HOLIDAY CLEANERS OF AMERICA
Part. Matter 10 Micrometers and Smllr Tons/Yr: 0
Particulate Matter Tons/Yr: 0
SOX - Oxides of Sulphur Tons/Yr: 0
NOX - Oxides of Nitrogen Tons/Yr: 0
Carbon Monoxide Emissions Tons/Yr: 0
Reactive Organic Gases Tons/Yr: 0
Total Organic Hydrocarbon Gases Tons/Yr: 0
Consolidated Emission Reporting Rule: Not reported
Community Health Air Pollution Info System: Not reported Air District Name: BAY AREA AQMD
SIC Code: 7216
Air District Name: BA
Facility ID: 7530
Air Basin: SF
County Code: 43
Year: 2003
City,State,Zip: CUPERTINO, CA 95014
Address: 19720 STEVENS CREEK BLVD
Name: HOLIDAY CLEANERS OF AMERICA
HOLIDAY CLEANERS OF AMERICA (Continued) 1005775162
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Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Reactive Organic Gases Tons/Yr: 0
Total Organic Hydrocarbon Gases Tons/Yr: .267
Consolidated Emission Reporting Rule: Not reported
Community Health Air Pollution Info System: Not reported Air District Name: BAY AREA AQMD
SIC Code: 7216
Air District Name: BA
Facility ID: 7530
Air Basin: SF
County Code: 43
Year: 2008
City,State,Zip: CUPERTINO, CA 95014
Address: 19720 STEVENS CREEK BLVD
Name: HOLIDAY CLEANERS OF AMERICA
Part. Matter 10 Micrometers and Smllr Tons/Yr: 0
Particulate Matter Tons/Yr: 0
SOX - Oxides of Sulphur Tons/Yr: 0
NOX - Oxides of Nitrogen Tons/Yr: 0
Carbon Monoxide Emissions Tons/Yr: 0
Reactive Organic Gases Tons/Yr: .1865262
Total Organic Hydrocarbon Gases Tons/Yr: .267
Consolidated Emission Reporting Rule: Not reported
Community Health Air Pollution Info System: Not reported Air District Name: BAY AREA AQMD
SIC Code: 7216
Air District Name: BA
Facility ID: 7530
Air Basin: SF
County Code: 43
Year: 2007
City,State,Zip: CUPERTINO, CA 95014
Address: 19720 STEVENS CREEK BLVD
Name: HOLIDAY CLEANERS OF AMERICA
Part. Matter 10 Micrometers and Smllr Tons/Yr: 0
Particulate Matter Tons/Yr: 0
SOX - Oxides of Sulphur Tons/Yr: 0
NOX - Oxides of Nitrogen Tons/Yr: 0
Carbon Monoxide Emissions Tons/Yr: 0
Reactive Organic Gases Tons/Yr: 0
Total Organic Hydrocarbon Gases Tons/Yr: .298
Consolidated Emission Reporting Rule: Not reported
Community Health Air Pollution Info System: Not reported Air District Name: BAY AREA AQMD
SIC Code: 7216
Air District Name: BA
Facility ID: 7530
Air Basin: SF
County Code: 43
Year: 2006
City,State,Zip: CUPERTINO, CA 95014
Address: 19720 STEVENS CREEK BLVD
Name: HOLIDAY CLEANERS OF AMERICA
Part. Matter 10 Micrometers and Smllr Tons/Yr: 0
Particulate Matter Tons/Yr: 0
HOLIDAY CLEANERS OF AMERICA (Continued) 1005775162
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Community Health Air Pollution Info System: Not reported Air District Name: BAY AREA AQMD
SIC Code: 7216
Air District Name: BA
Facility ID: 7530
Air Basin: SF
County Code: 43
Year: 2011
City,State,Zip: CUPERTINO, CA 95014
Address: 19720 STEVENS CREEK BLVD
Name: HOLIDAY CLEANERS OF AMERICA
Part. Matter 10 Micrometers and Smllr Tons/Yr: 0
Particulate Matter Tons/Yr: 0
SOX - Oxides of Sulphur Tons/Yr: 0
NOX - Oxides of Nitrogen Tons/Yr: 0
Carbon Monoxide Emissions Tons/Yr: 0
Reactive Organic Gases Tons/Yr: 0.31452619999999998
Total Organic Hydrocarbon Gases Tons/Yr: 0.58699999999999997 Consolidated Emission Reporting Rule: Not reported
Community Health Air Pollution Info System: Not reported Air District Name: BAY AREA AQMD
SIC Code: 7216
Air District Name: BA
Facility ID: 7530
Air Basin: SF
County Code: 43
Year: 2010
City,State,Zip: CUPERTINO, CA 95014
Address: 19720 STEVENS CREEK BLVD
Name: HOLIDAY CLEANERS OF AMERICA
Part. Matter 10 Micrometers and Smllr Tons/Yr: 0
Particulate Matter Tons/Yr: 0
SOX - Oxides of Sulphur Tons/Yr: 0
NOX - Oxides of Nitrogen Tons/Yr: 0
Carbon Monoxide Emissions Tons/Yr: 0
Reactive Organic Gases Tons/Yr: 0
Total Organic Hydrocarbon Gases Tons/Yr: 0.26700000000000002 Consolidated Emission Reporting Rule: Not reported
Community Health Air Pollution Info System: Not reported Air District Name: BAY AREA AQMD
SIC Code: 7216
Air District Name: BA
Facility ID: 7530
Air Basin: SF
County Code: 43
Year: 2009
City,State,Zip: CUPERTINO, CA 95014
Address: 19720 STEVENS CREEK BLVD
Name: HOLIDAY CLEANERS OF AMERICA
Part. Matter 10 Micrometers and Smllr Tons/Yr: 0
Particulate Matter Tons/Yr: 0
SOX - Oxides of Sulphur Tons/Yr: 0
NOX - Oxides of Nitrogen Tons/Yr: 0
Carbon Monoxide Emissions Tons/Yr: 0
HOLIDAY CLEANERS OF AMERICA (Continued) 1005775162
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Affiliation Phone: ,
Affiliation Zip: Not reported
Affiliation Country: Not reported
Affiliation State: CA
Affiliation City: SAN JOSE
Affiliation Address: 1555 BERGER DRIVE, SUITE 300
Entity Title: Not reported
Entity Name: HEATHER HANNA - SANTA CLARA COUNTY LOP
Affiliation Type Desc: Local Agency Caseworker
Affiliation:

CERS Description: Cleanup Program Site
CERS ID: T10000016970
Site ID: 896088
City,State,Zip: CUPERTINO, CA 95014
Address: 19720 STEVENS CREEK BLVD.

Name: 19720 STEVENS CREEK BLVD.

CERS Description: US EPA Air Emission Inventory System (EIS) CERS ID: 110002411113
Site ID: 472599
City,State,Zip: CUPERTINO, CA 95014
Address: 19720 STEVENS CREEK BLVD
Name: HOLIDAY CLEANERS OF AMERICA
CERS:

Part. Matter 10 Micrometers and Smllr Tons/Yr: 0
Particulate Matter Tons/Yr: 0
SOX - Oxides of Sulphur Tons/Yr: 0
NOX - Oxides of Nitrogen Tons/Yr: 0
Carbon Monoxide Emissions Tons/Yr: 0
Reactive Organic Gases Tons/Yr: 0
Total Organic Hydrocarbon Gases Tons/Yr: 0.267
Consolidated Emission Reporting Rule: Not reported
HOLIDAY CLEANERS OF AMERICA (Continued) 1005775162
Facility ID: FA0269402
Record ID: PR0400746
Longitude: -122.001929
Latitude: 37.322992
Program Identifier: COUNTY HAZ WASTE GEN PERMIT
Program Description: GENERATES <100 KG/YR OR USED OIL ONLY PE#: 2202
UDF Email: Not reported
Telephone: 4089963334
Region: SANTA CLARA
City,State,Zip: CUPERTINO, CA 95014
Address: 19720 STEVENS CREEK BL
Name: HOLIDAY CLEANERS
CUPA SANTA CLARA:
474 ft. Site 7 of 7 in cluster C

0.090 mi.

Relative:

Higher
Actual:
200 ft.
< 1/8 CUPERTINO, CA 95014
West 19720 STEVENS CREEK BL N/A
C55 HOLIDAY CLEANERS CUPA Listings S121474511
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Elevation Site Database(s) EPA ID Number
Institutional Control Indicator: No
Environmental Control Indicator: No
Corrective Action Priority Ranking: No NCAPS ranking
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Subject to Corrective Action Universe: No
202 GPRA Corrective Action Baseline: No
2018 GPRA Renewals Baseline: Not on the Baseline
2018 GPRA Permit Baseline: Not on the Baseline
Sub-Part K Indicator: Not reported
Hazardous Secondary Material Indicator: N
Federal Facility Indicator: Not reported
Active Site State-Reg Handler: ---
Federal Universal Waste: No
Universal Waste Destination Facility: No
Universal Waste Indicator: No
Off-Site Waste Receipt: No
Underground Injection Control: No
Smelting Melting and Refining Furnace Exemption: No
Small Quantity On-Site Burner Exemption: No
Recycler Activity with Storage: No
Transfer Facility Activity: No
Transporter Activity: No
Mixed Waste Generator: No
Importer Activity: No
Short-Term Generator Activity: No
Operator Type: Not reported
Operator Name: Not reported
Owner Type: Not reported
Owner Name: Not reported
Mailing City,State,Zip: Not reported
Mailing Address: Not reported
State District: Not reported
State District Owner: Not reported
Active Site Indicator: Not reported
Accessibility: Not reported
Biennial Report Cycle: Not reported
Non-Notifier: Not reported
Federal Waste Generator Description: Not a generator, verified Land Type: Private
EPA Region: 09
Contact Title: SENIOR DIRECTOR DESIGN AND CONSTRUCTION
Contact Email: [email protected]
Contact Fax: Not reported
Contact Telephone: 415-518-7568
Contact City,State,Zip: PALO ALTO, CA 94306
Contact Address: EL CAMINO REAL, SUITE 410
Contact Name: STEVE MCCARTT
EPA ID: CAP000364448
Handler City,State,Zip: CUPERTINO, CA 95014
Handler Address: N Wolfe Road
Handler Name: Vallco Propertyowner, Llc
Date Form Received by Agency: 20240228
RCRA Listings:
532 ft. Site 1 of 9 in cluster F

0.101 mi.

Relative:

Lower
Actual:
194 ft.
< 1/8 CUPERTINO, CA 95014
NE 10000 N WOLFE ROAD CAP000364448
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Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Not a generator, verified Handler Name: VALLCO PROPERTYOWNER, LLC
Receive Date: 20240228
Historic Generators:

Owner/Operator Email: [email protected]
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 415-518-7568
Owner/Operator City,State,Zip: PALO ALTO, CA 94306
Owner/Operator Address: 2600 EL CAMINO REAL, STE 410
Date Ended Current: Not reported
Date Became Current: 20200114
Legal Status: Private
Owner/Operator Name: VALLCO PROPERTY OWNER,LLC
Owner/Operator Indicator: Owner
Owner/Operator Email: [email protected]
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 415-518-7568
Owner/Operator City,State,Zip: PALO ALTO, CA 94306
Owner/Operator Address: 2600 CAMINO REAL, SUITE 410
Date Ended Current: Not reported
Date Became Current: 20190114
Legal Status: Private
Owner/Operator Name: VALLCO PROPERTY OWNER, LLC
Owner/Operator Indicator: Operator
Handler - Owner Operator:

Waste Description: Tetrachloroethylene
Waste Code: D039
Hazardous Waste Summary:

Sub-Part P Indicator: No
Manifest Broker: No
Recycler Activity Without Storage: No
Exporter of Spent Lead Acid Batteries: No
Importer of Spent Lead Acid Batteries: No
Recognized Trader-Exporter: No
Recognized Trader-Importer: No
Handler Date of Last Change: 20240722
Financial Assurance Required: Not reported
Significant Non-Complier With a Compliance Schedule Universe: No Addressed Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Significant Non-Complier Universe: No
Groundwater Controls Indicator: N/A
Human Exposure Controls Indicator: N/A
VALLCO PROPERTYOWNER, LLC (Continued) 1028904603
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Evaluations: No Evaluations Found
Evaluation Action Summary:

Violations: No Violations Found
Facility Has Received Notices of Violations:

NAICS Description: Other Services To Buildings And Dwellings NAICS Code: 561790
List of NAICS Codes and Descriptions:

Electronic Manifest Broker: No
Non Storage Recycler Activity: No
Current Record: No
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Small Quantity Generator Handler Name: VALLCO PROPERTYOWNER, LLC
Receive Date: 20231120
Electronic Manifest Broker: No
Non Storage Recycler Activity: No
Current Record: Yes
VALLCO PROPERTYOWNER, LLC (Continued) 1028904603
State District: Not reported
State District Owner: Not reported
Active Site Indicator: Not reported
Accessibility: Not reported
Biennial Report Cycle: Not reported
Non-Notifier: Not reported
Federal Waste Generator Description: Not a generator, verified Land Type: Not reported
EPA Region: 09
Contact Title: Not reported
Contact Email: [email protected]
Contact Fax: Not reported
Contact Telephone: 415-518-7568
Contact City,State,Zip: PALO ALTO, CA 94306
Contact Address: 2600 EL CAMINO REAL, SUITE 410
Contact Name: STEVE MCCARTT
EPA ID: CAC003261990
Handler City,State,Zip: CUPERTINO, CA 95014
Handler Address: 10000 N Wolfe Road
Handler Name: Vallco Property Owner, Llc
Date Form Received by Agency: 20240220
RCRA Listings:
532 ft. Site 2 of 9 in cluster F

0.101 mi.

Relative:

Lower
Actual:
194 ft.
< 1/8 CUPERTINO, CA 95014
NE 10000 N WOLFE ROAD CAC003261990
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Owner/Operator Telephone: 415-518-7568
Owner/Operator City,State,Zip: PALO ALTO, CA 94306
Owner/Operator Address: 2600 EL CAMINO REAL, SUITE 410
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: STEVE MCCARTT
Owner/Operator Indicator: Operator
Handler - Owner Operator:

Sub-Part P Indicator: No
Manifest Broker: No
Recycler Activity Without Storage: No
Exporter of Spent Lead Acid Batteries: No
Importer of Spent Lead Acid Batteries: No
Recognized Trader-Exporter: No
Recognized Trader-Importer: No
Handler Date of Last Change: 20240918
Financial Assurance Required: Not reported
Significant Non-Complier With a Compliance Schedule Universe: No Addressed Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Significant Non-Complier Universe: No
Groundwater Controls Indicator: N/A
Human Exposure Controls Indicator: N/A
Institutional Control Indicator: No
Environmental Control Indicator: No
Corrective Action Priority Ranking: No NCAPS ranking
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Subject to Corrective Action Universe: No
202 GPRA Corrective Action Baseline: No
2018 GPRA Renewals Baseline: Not on the Baseline
2018 GPRA Permit Baseline: Not on the Baseline
Sub-Part K Indicator: Not reported
Hazardous Secondary Material Indicator: N
Federal Facility Indicator: Not reported
Active Site State-Reg Handler: ---
Federal Universal Waste: No
Universal Waste Destination Facility: No
Universal Waste Indicator: No
Off-Site Waste Receipt: No
Underground Injection Control: No
Smelting Melting and Refining Furnace Exemption: No
Small Quantity On-Site Burner Exemption: No
Recycler Activity with Storage: No
Transfer Facility Activity: No
Transporter Activity: No
Mixed Waste Generator: No
Importer Activity: No
Short-Term Generator Activity: No
Operator Type: Not reported
Operator Name: Not reported
Owner Type: Not reported
Owner Name: Not reported
Mailing City,State,Zip: Not reported
Mailing Address: Not reported
VALLCO PROPERTY OWNER, LLC (Continued) 1028900217
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Evaluations: No Evaluations Found
Evaluation Action Summary:

Violations: No Violations Found
Facility Has Received Notices of Violations:

NAICS Description: General Automotive Repair
NAICS Code: 811111
List of NAICS Codes and Descriptions:

Electronic Manifest Broker: No
Non Storage Recycler Activity: No
Current Record: Yes
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Not a generator, verified Handler Name: VALLCO PROPERTY OWNER, LLC
Receive Date: 20240220
Electronic Manifest Broker: No
Non Storage Recycler Activity: No
Current Record: No
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Not a generator, verified Handler Name: VALLCO PROPERTY OWNER, LLC
Receive Date: 20231121
Historic Generators:

Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 650-344-1500
Owner/Operator City,State,Zip: PALO ALTO, CA 94306
Owner/Operator Address: 2600 EL CAMINO REAL, SUITE 410
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: VALLCO PROPERTY OWNER, LLC
Owner/Operator Indicator: Owner
Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
VALLCO PROPERTY OWNER, LLC (Continued) 1028900217
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Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Institutional Control Indicator: No
Environmental Control Indicator: No
Corrective Action Priority Ranking: No NCAPS ranking
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Subject to Corrective Action Universe: No
202 GPRA Corrective Action Baseline: No
2018 GPRA Renewals Baseline: Not on the Baseline
2018 GPRA Permit Baseline: Not on the Baseline
Sub-Part K Indicator: Not reported
Hazardous Secondary Material Indicator: N
Federal Facility Indicator: Not reported
Active Site State-Reg Handler: ---
Federal Universal Waste: No
Universal Waste Destination Facility: No
Universal Waste Indicator: No
Off-Site Waste Receipt: No
Underground Injection Control: No
Smelting Melting and Refining Furnace Exemption: No
Small Quantity On-Site Burner Exemption: No
Recycler Activity with Storage: No
Transfer Facility Activity: No
Transporter Activity: No
Mixed Waste Generator: No
Importer Activity: No
Short-Term Generator Activity: No
Operator Type: Private
Operator Name: Kaiser Foundation Health Plan
Owner Type: Private
Owner Name: Kaiser Foundation Health Plan
Mailing City,State,Zip: CUPERTINO, CA 95014
Mailing Address: N WOLFE RD
State District: Not reported
State District Owner: Not reported
Active Site Indicator: Not reported
Accessibility: Not reported
Biennial Report Cycle: Not reported
Non-Notifier: Not reported
Federal Waste Generator Description: Not a generator, verified Land Type: Private
EPA Region: 09
Contact Title: SAFETY SPECIALIST
Contact Email: [email protected]
Contact Fax: 408-851-0661
Contact Telephone: 408-851-0651
Contact City,State,Zip: SANTA CLARA, CA 95051
Contact Address: LAWRENCE EXPWY B10
Contact Name: CURT F ZINGMOND
EPA ID: CAR000284257
Handler City,State,Zip: CUPERTINO, CA 95014
Handler Address: N Wolfe Rd
Handler Name: Kaiser Cupertino Occupational Medicine
Date Form Received by Agency: 20220809
RCRA Listings:
544 ft. Site 3 of 9 in cluster F

0.103 mi.

Relative:

Lower
Actual:
194 ft.
< 1/8 CUPERTINO, CA 95014
NE 10050 N WOLFE RD CAR000284257
F58 KAISER CUPERTINO OCCUPATIONAL MEDICINE 1024876935 RCRA NonGen / NLR TC07984167.2r Page 230
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Owner/Operator Name: KAISER FOUNDATION HEALTH PLAN
Owner/Operator Indicator: Owner
Owner/Operator Email: [email protected]
Owner/Operator Fax: 408-851-0661
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 408-851-0651
Owner/Operator City,State,Zip: OAKLAND, CA 94612
Owner/Operator Address: 1950 FRANKLIN STREET
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Private
Owner/Operator Name: KAISER FOUNDATION HEALTH PLAN
Owner/Operator Indicator: Operator
Handler - Owner Operator:

Mitomycin C
hoxy-5-Methyl-, [1as-(1aalpha, 8beta, 8aalpha, 8balpha)]- (Or) 6-Amino-8-[[(Aminocarbonyl)Oxy]Methyl]-1,1a,2,8,8a,8b-Hexahydro-8a-Met Waste Description: Azirino [2’,3’:3,4]Pyrrolo[1,2-A]Indole-4,7-Dione, Waste Code: U010
Waste Description: 2-Propanone (I) (Or) Acetone (I)
Waste Code: U002
5-Yl Methylcarbamate Ester (1:1) (Or) Physostigmine Salicylate (3as-Cis)-1,2,3,3a,8,8a-Hexahydro-1,3a,8-Trimethylpyrrolo[2,3-B]IndolWaste Description: Benzoic Acid, 2-Hydroxy-, Compd. With Waste Code: P188
Salts
Waste Description: Nicotine, & Salts (Or) Pyridine, 3-(1-Methyl-2-Pyrrolidinyl)-,(S)-, & Waste Code: P075
Salts, When Present At Concentrations Greater Than 0.3% When Present At Concentrations Greater Than 0.3% (Or) Warfarin, & Waste Description: 2h-1-Benzopyran-2-One, 4-Hydroxy-3-(3-Oxo-1-Phenylbutyl)-, & Salts, Waste Code: P001
Hazardous Waste Summary:

Sub-Part P Indicator: No
Manifest Broker: No
Recycler Activity Without Storage: No
Exporter of Spent Lead Acid Batteries: No
Importer of Spent Lead Acid Batteries: No
Recognized Trader-Exporter: No
Recognized Trader-Importer: No
Handler Date of Last Change: 20220811
Financial Assurance Required: Not reported
Significant Non-Complier With a Compliance Schedule Universe: No Addressed Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Significant Non-Complier Universe: No
Groundwater Controls Indicator: N/A
Human Exposure Controls Indicator: N/A
KAISER CUPERTINO OCCUPATIONAL MEDICINE (Continued) 1024876935 TC07984167.2r Page 231
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Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Small Quantity Generator Handler Name: KAISER CUPERTINO OCCUPATIONAL MEDICINE
Receive Date: 20180530
Electronic Manifest Broker: No
Non Storage Recycler Activity: No
Current Record: Yes
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Not a generator, verified Handler Name: KAISER CUPERTINO OCCUPATIONAL MEDICINE
Receive Date: 20220809
Historic Generators:

Owner/Operator Email: [email protected]
Owner/Operator Fax: 408-851-0661
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 408-851-0651
Owner/Operator City,State,Zip: OAKLAND, CA 94612
Owner/Operator Address: 1950 FRANKLIN STREET
Date Ended Current: Not reported
Date Became Current: 20081124
Legal Status: Private
Owner/Operator Name: KAISER FOUNDATION HEALTH PLAN
Owner/Operator Indicator: Operator
Owner/Operator Email: [email protected]
Owner/Operator Fax: 408-851-0661
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 408-851-0651
Owner/Operator City,State,Zip: OAKLAND, CA 94612
Owner/Operator Address: 1950 FRANKLIN STEET
Date Ended Current: Not reported
Date Became Current: 20081124
Legal Status: Private
Owner/Operator Name: KAISER FOUNDATION HEALTH PLAN
Owner/Operator Indicator: Owner
Owner/Operator Email: [email protected]
Owner/Operator Fax: 408-851-0661
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 408-851-0651
Owner/Operator City,State,Zip: OAKLAND, CA 94612
Owner/Operator Address: 1950 FRANKLIN STEET
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Private
KAISER CUPERTINO OCCUPATIONAL MEDICINE (Continued) 1024876935 TC07984167.2r Page 232
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Evaluations: No Evaluations Found
Evaluation Action Summary:

Violations: No Violations Found
Facility Has Received Notices of Violations:

NAICS Description: Offices Of Physicians
NAICS Code: 62111
List of NAICS Codes and Descriptions:

Electronic Manifest Broker: No
Non Storage Recycler Activity: No
Current Record: No
KAISER CUPERTINO OCCUPATIONAL MEDICINE (Continued) 1024876935 Small Quantity On-Site Burner Exemption: No
Recycler Activity with Storage: Yes
Transfer Facility Activity: No
Transporter Activity: No
Mixed Waste Generator: No
Importer Activity: No
Short-Term Generator Activity: No
Operator Type: Other
Operator Name: Matthew Huray
Owner Type: Other
Owner Name: Kaiser Permanente
Mailing City,State,Zip: OAKLAND, CA 94612-5103
Mailing Address: 1800 HARRISON ST
State District: Not reported
State District Owner: Not reported
Active Site Indicator: Handler Activities
Accessibility: Not reported
Biennial Report Cycle: Not reported
Non-Notifier: Not reported
Federal Waste Generator Description: Not a generator, verified Land Type: Not reported
EPA Region: 09
Contact Title: Not reported
Contact Email: [email protected]
Contact Fax: Not reported
Contact Telephone: 301-625-7462
Contact City,State,Zip: OAKLAND, CA 94612
Contact Address: 1800 HARRISON ST
Contact Name: MATTHEW HURAY
EPA ID: CAL000420146
Handler City,State,Zip: CUPERTINO, CA 95014
Handler Address: 10050 N Wolfe Rd 1-190
Handler Name: Kaiser Occupational Medical Clinic
Date Form Received by Agency: 20160913
RCRA Listings:
544 ft. Site 4 of 9 in cluster F

0.103 mi.

Relative:

Lower
Actual:
194 ft.
< 1/8 CUPERTINO, CA 95014
NE 10050 N WOLFE RD 1-190 CAL000420146
F59 KAISER OCCUPATIONAL MEDICAL CLINIC 1025870053 RCRA NonGen / NLR TC07984167.2r Page 233
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Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 510-625-4737
Owner/Operator City,State,Zip: OAKLAND, CA 94612-3610
Owner/Operator Address: ONE KAISER PLAZA
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: KAISER PERMANENTE
Owner/Operator Indicator: Owner
Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 301-625-7462
Owner/Operator City,State,Zip: OAKLAND, CA 94612
Owner/Operator Address: 1800 HARRISON ST
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: MATTHEW HURAY
Owner/Operator Indicator: Operator
Handler - Owner Operator:

Sub-Part P Indicator: No
Manifest Broker: No
Recycler Activity Without Storage: No
Exporter of Spent Lead Acid Batteries: No
Importer of Spent Lead Acid Batteries: No
Recognized Trader-Exporter: No
Recognized Trader-Importer: No
Handler Date of Last Change: 20190628
Financial Assurance Required: Not reported
Significant Non-Complier With a Compliance Schedule Universe: No Addressed Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Significant Non-Complier Universe: No
Groundwater Controls Indicator: N/A
Human Exposure Controls Indicator: N/A
Institutional Control Indicator: No
Environmental Control Indicator: No
Corrective Action Priority Ranking: No NCAPS ranking
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Subject to Corrective Action Universe: No
202 GPRA Corrective Action Baseline: No
2018 GPRA Renewals Baseline: Not on the Baseline
2018 GPRA Permit Baseline: Not on the Baseline
Sub-Part K Indicator: Not reported
Hazardous Secondary Material Indicator: N
Federal Facility Indicator: Not reported
Active Site State-Reg Handler: ---
Federal Universal Waste: No
Universal Waste Destination Facility: Yes
Universal Waste Indicator: Yes
Off-Site Waste Receipt: No
Underground Injection Control: No
Smelting Melting and Refining Furnace Exemption: No
KAISER OCCUPATIONAL MEDICAL CLINIC (Continued) 1025870053 TC07984167.2r Page 234
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Evaluations: No Evaluations Found
Evaluation Action Summary:

Violations: No Violations Found
Facility Has Received Notices of Violations:

NAICS Description: General Medical And Surgical Hospitals NAICS Code: 62211
List of NAICS Codes and Descriptions:

Electronic Manifest Broker: Not reported
Non Storage Recycler Activity: Not reported
Current Record: Yes
Spent Lead Acid Battery Exporter: Not reported
Spent Lead Acid Battery Importer: Not reported
Recognized Trader Exporter: Not reported
Recognized Trader Importer: Not reported
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Not a generator, verified Handler Name: KAISER OCCUPATIONAL MEDICAL CLINIC
Receive Date: 20160913
Historic Generators:

Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
KAISER OCCUPATIONAL MEDICAL CLINIC (Continued) 1025870053 State District: Not reported
State District Owner: Not reported
Active Site Indicator: Not reported
Accessibility: Not reported
Biennial Report Cycle: Not reported
Non-Notifier: Not reported
Federal Waste Generator Description: Not a generator, verified Land Type: Not reported
EPA Region: 09
Contact Title: Not reported
Contact Email: [email protected]
Contact Fax: Not reported
Contact Telephone: 408-722-9114
Contact City,State,Zip: CUPERTINO, CA 95014
Contact Address: 10050 N WOLFE RD
Contact Name: BASIL RAY
EPA ID: CAC003323742
Handler City,State,Zip: CUPERTINO, CA 95014
Handler Address: 10080 N Wolfe Rd
Handler Name: I & G Direct Real Estate 27, Lp
Date Form Received by Agency: 20250129
RCRA Listings:
544 ft. Site 5 of 9 in cluster F

0.103 mi.

Relative:

Lower
Actual:
194 ft.
< 1/8 CUPERTINO, CA 95014
NE 10080 N WOLFE RD CAC003323742
F60 I & G DIRECT REAL ESTATE 27, LP RCRA NonGen / NLR 1031479620 TC07984167.2r Page 235
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Elevation Site Database(s) EPA ID Number
Owner/Operator Telephone: 408-722-9114
Owner/Operator City,State,Zip: CUPERTINO, CA 95014
Owner/Operator Address: 10050 N WOLFE RD
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: BASIL RAY
Owner/Operator Indicator: Operator
Handler - Owner Operator:

Sub-Part P Indicator: No
Manifest Broker: No
Recycler Activity Without Storage: No
Exporter of Spent Lead Acid Batteries: No
Importer of Spent Lead Acid Batteries: No
Recognized Trader-Exporter: No
Recognized Trader-Importer: No
Handler Date of Last Change: 20250130
Financial Assurance Required: Not reported
Significant Non-Complier With a Compliance Schedule Universe: No Addressed Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Significant Non-Complier Universe: No
Groundwater Controls Indicator: N/A
Human Exposure Controls Indicator: N/A
Institutional Control Indicator: No
Environmental Control Indicator: No
Corrective Action Priority Ranking: No NCAPS ranking
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Subject to Corrective Action Universe: No
202 GPRA Corrective Action Baseline: No
2018 GPRA Renewals Baseline: Not on the Baseline
2018 GPRA Permit Baseline: Not on the Baseline
Sub-Part K Indicator: Not reported
Hazardous Secondary Material Indicator: N
Federal Facility Indicator: Not reported
Active Site State-Reg Handler: ---
Federal Universal Waste: No
Universal Waste Destination Facility: No
Universal Waste Indicator: No
Off-Site Waste Receipt: No
Underground Injection Control: No
Smelting Melting and Refining Furnace Exemption: No
Small Quantity On-Site Burner Exemption: No
Recycler Activity with Storage: No
Transfer Facility Activity: No
Transporter Activity: No
Mixed Waste Generator: No
Importer Activity: No
Short-Term Generator Activity: No
Operator Type: Other
Operator Name: Basil Ray
Owner Type: Other
Owner Name: I & G Direct Real Estate 27, Lp
Mailing City,State,Zip: CUPERTINO, CA 95014
Mailing Address: 10050 N WOLFE RD
I & G DIRECT REAL ESTATE 27, LP (Continued) 1031479620
TC07984167.2r Page 236
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Evaluations: No Evaluations Found
Evaluation Action Summary:

Violations: No Violations Found
Facility Has Received Notices of Violations:

Political Organizations)
NAICS Description: Other Similar Organizations (Except Business, Professional, Labor, And NAICS Code: 813990
List of NAICS Codes and Descriptions:

Electronic Manifest Broker: No
Non Storage Recycler Activity: No
Current Record: Yes
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Not a generator, verified Handler Name: I & G DIRECT REAL ESTATE 27, LP
Receive Date: 20250129
Historic Generators:

Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 408-722-9114
Owner/Operator City,State,Zip: CUPERTINO, CA 95014
Owner/Operator Address: 10050 N WOLFE RD
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: I & G DIRECT REAL ESTATE 27, LP
Owner/Operator Indicator: Owner
Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
I & G DIRECT REAL ESTATE 27, LP (Continued) 1031479620
PE#: 2202
UDF Email: [email protected]
Telephone: 4082366160
Region: SANTA CLARA
City,State,Zip: CUPERTINO, CA 95014
Address: 10050 N WOLFE RD 1-190
Name: KAISER OCCUPATIONAL MEDICINE
CUPA SANTA CLARA:
544 ft. Site 6 of 9 in cluster F

0.103 mi.

Relative:

Lower
Actual:
194 ft.
< 1/8 CUPERTINO, CA 95014 HAZNET
NE 10050 N WOLFE RD HWTS N/A
F61 CUPERTINO FINANCIAL CENTER LLC S112939639 CUPA Listings TC07984167.2r Page 237
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Tons: 0.8428
Disposal Method: D80 - Disposal, Land Fill
CA Waste Code: 151 - Asbestos containing waste
TSD EPA ID: CAL000190080
Gepaid: CAC002580799
Year: 2004
Mailing Address: 2901 TASMAN DR STE 220
Mailing Name: Not reported
Telephone: 6503269300
Contact: KEN WONG
City,State,Zip: CUPERTINO, CA 950140000
Address 2: Not reported
Address: 10050 N WOLFE RD
Name: CUPERTINO FINANCIAL CENTER LLC
HAZNET:

Longitude: -122.014127
Latitude: 37.323785
Category: STATE
Facility Type: TEMPORARY
Facility Status: Inactive
Contact Fax: Not reported
Contact Phone: Not reported
City,State,Zip: SANTA CLARA, CA 95054
Contact Address 2: Not reported
Contact Address: 2901 TASMAN DR STE 220
Contact Name: KEN WONG
Owner Fax: Not reported
Owner Phone: Not reported
Owner City,State,Zip: SANTA CLARA, CA 95054
Owner Address 2: Not reported
Owner Address: 2901 TASMAN DR STE 220
Owner Name: CUPERTINO FINANCIAL CENTER LLC
Mailing City,State,Zip: SANTA CLARA, CA 95054
Mailing Address 2: Not reported
Mailing Address: 2901 TASMAN DR STE 220
Mailing Name: Not reported
Last Act Date: Not reported
Create Date: 08/11/2004
Inactive Date: 04/25/2005
EPA ID: CAC002580799
City,State,Zip: CUPERTINO, CA 95014
Address 2: Not reported
Address: 10050 N WOLFE RD
Name: CUPERTINO FINANCIAL CENTER LLC
HWTS:

Facility ID: FA0271679
Record ID: PR0444846
Longitude: -122.041285
Latitude: 37.31807
Program Identifier: DEH PERMIT-HAZ WASTE GENERATOR PROGRAM Program Description: GENERATES <100 KG/YR OR USED OIL ONLY CUPERTINO FINANCIAL CENTER LLC (Continued) S112939639
TC07984167.2r Page 238
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Additional Code 5: Not reported
Additional Code 4: Not reported
Additional Code 3: Not reported
Additional Code 2: Not reported
Additional Code 1: Not reported
Quantity Unit: Y
Waste Quantity: 1
Quantity Tons: 0.8428
Meth Code: D80 - Disposal, Land Fill
RCRA Code: NA
Waste Code Description: 151 - Asbestos-containing waste TSDF Alt Name: Not reported
TSDF Alt EPA ID: CAL000190080
Trans Name: FORWARD LANDFILL INC
TSDF EPA ID: CAL000190080
Trans 2 Name: Not reported
Trans 2 EPA ID: Not reported
Trans Name: CONSOLIDATED WASTE INDUSTRIES INC
Trans EPA ID: CAD983668583
Manifest ID: 99682046
Receipt Date: 20040820
Creation Date: 1/4/2005 18:33:27
Shipment Date: 20040814
Gen EPA ID: CAC002580799
Year: 2004
Additional Information:

CUPERTINO FINANCIAL CENTER LLC (Continued) S112939639
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 95014
Generator Mail City: NEWPORT
Generator Mail Street 2: Not reported
Generator Mail Street 1: 100 BAYVIEW CIR STE 2600
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUEPRTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10080 NORTH WOLF ROAD
Generator Location Street Number: Not reported
Generator Name: I & G Direct Real Estate 27, Lp C/O Riverrock Real Estate Generator EPA ID: CAC003023750
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20190719
Shipped Date: 20190719
Last Updated Date: 20190805
Manifest Tracking Number: 019351759JJK
E MANIFEST:
544 ft. Site 7 of 9 in cluster F

0.103 mi.

Relative:

Lower
Actual:
194 ft.
< 1/8 CUEPRTINO, CA 95014
NE 10080 NORTH WOLF ROAD N/A
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Waste Minimization Code: Not reported
Source Code Description: Not reported
Source Code: Not reported
Form Code Description: Not reported
Form Code: Not reported
Waste Density Unit of Measure Description: Not reported Waste Density Unit of Measure Code: Not reported
Waste Density: Not reported
Waste Type Discrepancy Indicator: N
Quantity Discrepancy Indicator: N
Waste Residue Indicator: N
Management Method Description: LANDFILL (WITH PRIOR TREATMENT AND/OR STABILIZATION) Management Method Code: H132
Non-Acute Waste Quantity, in Kilorgrams: 22857.156
Acute Waste Quantity, in Kilograms: 0
Waste Quantity, in Kilograms: 22857.156
Non-Acute Waste Quantity, in Tons: 25.199999
Acute Waste Quantity, in Tons: 0
Waste Quantity, in Tons: 25.199999
Quantity Unit of Measure Description: Cubic Yards
Quantity Unit of Measure Code: Y
Waste Quantity: 30
Container Type Description: Metal boxes, cartons, cases (including roll offs) Container Type Code: CM
Number of Containers: 1
Non-Hazardous Waste Description: Not reported
U.S. DOT Description: R.Q. Na2212, Asbestos, 9, Pg Iii
U.S. DOT ID Number: NA2212
U.S. DOT Hazardous Indicator: Y
Waste Line Number: 1
Manifest Tracking Number: 019351759JJK
Waste Line:

Transporter Name: Bluewater Environmental Services Inc
Transporter EPA ID: CAR000192229
Transporter Line Number: 1
Manifest Tracking Number: 019351759JJK
Transporter:

Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 94551
Designated Facility Location City: LIVERMORE
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: 10840 ALTAMONT PASS RD Designated Facility Location Street Number: 10840
Designated Facility Mail State: CA
Designated Facility Mail Zip: 94551
Designated Facility Mail City: LIVERMORE
Designated Facility Mail Street 2: 10840 ALTAMONT PASS RD Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 10840
Designated Facility Name: Altamont Landfill & Resource Recovery Facility Designated Facility EPA ID: CAD981382732
I & G DIRECT REAL ESTATE 27, LP C/O RIVERROCK REAL ESTATE (Continued) 1031501942 TC07984167.2r Page 240
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State Waste Codes: CA-151
Quantity Non Haz Tons: 25.199999
Quantity Non Haz Kg: 22857.156
Quantity Haz Tons: 0
Quantity Haz Kg: 0
Federal Waste Codes: Not reported
EPA Waste Indicator: N
Consent Number: Not reported
Waste Minimization Code Description: Not reported
I & G DIRECT REAL ESTATE 27, LP C/O RIVERROCK REAL ESTATE (Continued) 1031501942 Active Site State-Reg Handler: ---
Federal Universal Waste: No
Universal Waste Destination Facility: Yes
Universal Waste Indicator: Yes
Off-Site Waste Receipt: No
Underground Injection Control: No
Smelting Melting and Refining Furnace Exemption: No
Small Quantity On-Site Burner Exemption: No
Recycler Activity with Storage: No
Transfer Facility Activity: No
Transporter Activity: No
Mixed Waste Generator: No
Importer Activity: No
Short-Term Generator Activity: No
Operator Type: Other
Operator Name: Socorro Duran
Owner Type: Other
Owner Name: I & G Direct Real Estate 27, Lp
Mailing City,State,Zip: LOS ANGELES, CA 90074
Mailing Address: PO BOX 743259
State District: Not reported
State District Owner: Not reported
Active Site Indicator: Handler Activities
Accessibility: Not reported
Biennial Report Cycle: Not reported
Non-Notifier: Not reported
Federal Waste Generator Description: Not a generator, verified Land Type: Not reported
EPA Region: 09
Contact Title: Not reported
Contact Email: [email protected]
Contact Fax: Not reported
Contact Telephone: 510-904-3911
Contact City,State,Zip: SAN FRANCISCO, CA 94102
Contact Address: 2075 WILLIAMS STREET
Contact Name: SOCORRO DURAN
EPA ID: CAC003023750
Handler City,State,Zip: CUPERTINO, CA 95014
Handler Address: 10080 N. Wolfe Road
Handler Name: I & G Direct Real Estate 27, Lp
Date Form Received by Agency: 20190712
RCRA Listings:
544 ft. Site 8 of 9 in cluster F

0.103 mi.

Relative:

Lower
Actual:
194 ft.
< 1/8 CUPERTINO, CA 95014
NE 10080 N. WOLFE ROAD E MANIFEST CAC003023750
F63 I & G DIRECT REAL ESTATE 27, LP RCRA NonGen / NLR 1025844132 TC07984167.2r Page 241
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Handler Name: I & G DIRECT REAL ESTATE 27, LP
Receive Date: 20190712
Historic Generators:

Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 510-904-3911
Owner/Operator City,State,Zip: SAN FRANCISCO, CA 94102
Owner/Operator Address: 2075 WILLIAMS STREET
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: SOCORRO DURAN
Owner/Operator Indicator: Operator
Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 415-702-1312
Owner/Operator City,State,Zip: LOS ANGELES, CA 90074
Owner/Operator Address: PO BOX 743259
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: I & G DIRECT REAL ESTATE 27, LP
Owner/Operator Indicator: Owner
Handler - Owner Operator:

Sub-Part P Indicator: No
Manifest Broker: No
Recycler Activity Without Storage: No
Exporter of Spent Lead Acid Batteries: No
Importer of Spent Lead Acid Batteries: No
Recognized Trader-Exporter: No
Recognized Trader-Importer: No
Handler Date of Last Change: 20190729
Financial Assurance Required: Not reported
Significant Non-Complier With a Compliance Schedule Universe: No Addressed Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Significant Non-Complier Universe: No
Groundwater Controls Indicator: N/A
Human Exposure Controls Indicator: N/A
Institutional Control Indicator: No
Environmental Control Indicator: No
Corrective Action Priority Ranking: No NCAPS ranking
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Subject to Corrective Action Universe: No
202 GPRA Corrective Action Baseline: No
2018 GPRA Renewals Baseline: Not on the Baseline
2018 GPRA Permit Baseline: Not on the Baseline
Sub-Part K Indicator: Not reported
Hazardous Secondary Material Indicator: N
Federal Facility Indicator: Not reported
I & G DIRECT REAL ESTATE 27, LP (Continued) 1025844132
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Designated Facility Location Street 1: 10840 ALTAMONT PASS RD Designated Facility Location Street Number: 10840
Designated Facility Mail State: CA
Designated Facility Mail Zip: 94551
Designated Facility Mail City: LIVERMORE
Designated Facility Mail Street 2: 10840 ALTAMONT PASS RD Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 10840
Designated Facility Name: Altamont Landfill & Resource Recovery Facility Designated Facility EPA ID: CAD981382732
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 92660
Generator Mail City: Newport
Generator Mail Street 2: Not reported
Generator Mail Street 1: 100 Bayview Cir
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10080 N. WOLFE ROAD
Generator Location Street Number: Not reported
Generator Name: I & G Direct Real Estate 27, Lp
Generator EPA ID: CAC003023750
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20190731
Shipped Date: 20190731
Last Updated Date: 20190901
Manifest Tracking Number: 019351769JJK
E MANIFEST:

Evaluations: No Evaluations Found
Evaluation Action Summary:

Violations: No Violations Found
Facility Has Received Notices of Violations:

NAICS Description: All Other Waste Management Services
NAICS Code: 56299
List of NAICS Codes and Descriptions:

Electronic Manifest Broker: Not reported
Non Storage Recycler Activity: Not reported
Current Record: Yes
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Not a generator, verified I & G DIRECT REAL ESTATE 27, LP (Continued) 1025844132
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State Waste Codes: CA-151
Quantity Non Haz Tons: 8.4
Quantity Non Haz Kg: 7619.052
Quantity Haz Tons: 0
Quantity Haz Kg: 0
Federal Waste Codes: Not reported
EPA Waste Indicator: N
Consent Number: Not reported
Waste Minimization Code Description: Not reported
Waste Minimization Code: Not reported
Source Code Description: Not reported
Source Code: Not reported
Form Code Description: Not reported
Form Code: Not reported
Waste Density Unit of Measure Description: Not reported Waste Density Unit of Measure Code: Not reported
Waste Density: Not reported
Waste Type Discrepancy Indicator: N
Quantity Discrepancy Indicator: N
Waste Residue Indicator: N
Management Method Description: LANDFILL (WITH PRIOR TREATMENT AND/OR STABILIZATION) Management Method Code: H132
Non-Acute Waste Quantity, in Kilorgrams: 7619.052
Acute Waste Quantity, in Kilograms: 0
Waste Quantity, in Kilograms: 7619.052
Non-Acute Waste Quantity, in Tons: 8.4
Acute Waste Quantity, in Tons: 0
Waste Quantity, in Tons: 8.4
Quantity Unit of Measure Description: Cubic Yards
Quantity Unit of Measure Code: Y
Waste Quantity: 10
Container Type Description: Burlap, cloth, paper, or plastic bags Container Type Code: BA
Number of Containers: 100
Non-Hazardous Waste Description: Not reported
U.S. DOT Description: Na2212, Asbestos, 9, Pg Iii, Rq
U.S. DOT ID Number: NA2212
U.S. DOT Hazardous Indicator: Y
Waste Line Number: 1
Manifest Tracking Number: 019351769JJK
Waste Line:

Transporter Name: Bluewater Environmental Services Inc
Transporter EPA ID: CAR000192229
Transporter Line Number: 1
Manifest Tracking Number: 019351769JJK
Transporter:

Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 94551
Designated Facility Location City: LIVERMORE
Designated Facility Location Street 2: Not reported
I & G DIRECT REAL ESTATE 27, LP (Continued) 1025844132
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Institutional Control Indicator: No
Environmental Control Indicator: No
Corrective Action Priority Ranking: No NCAPS ranking
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Subject to Corrective Action Universe: No
202 GPRA Corrective Action Baseline: No
2018 GPRA Renewals Baseline: Not on the Baseline
2018 GPRA Permit Baseline: Not on the Baseline
Sub-Part K Indicator: Not reported
Hazardous Secondary Material Indicator: N
Federal Facility Indicator: Not reported
Active Site State-Reg Handler: ---
Federal Universal Waste: No
Universal Waste Destination Facility: No
Universal Waste Indicator: No
Off-Site Waste Receipt: No
Underground Injection Control: No
Smelting Melting and Refining Furnace Exemption: No
Small Quantity On-Site Burner Exemption: No
Recycler Activity with Storage: No
Transfer Facility Activity: No
Transporter Activity: No
Mixed Waste Generator: No
Importer Activity: No
Short-Term Generator Activity: No
Operator Type: Private
Operator Name: Not Required
Owner Type: Not reported
Owner Name: Not reported
Mailing City,State,Zip: CUPERTINO, CA 95014
Mailing Address: STEVENS CRK BLVD
State District: 2
State District Owner: Ca
Active Site Indicator: Handler Activities
Accessibility: Not reported
Biennial Report Cycle: Not reported
Non-Notifier: Not reported
Federal Waste Generator Description: Small Quantity Generator Land Type: Not reported
EPA Region: 09
Contact Title: Not reported
Contact Email: Not reported
Contact Fax: Not reported
Contact Telephone: Not reported
Contact City,State,Zip: Not reported
Contact Address: Not reported
Contact Name: Not reported
EPA ID: CAD982022998
Handler City,State,Zip: CUPERTINO, CA 95014
Handler Address: Stevens Crk Blvd
Handler Name: Wardrob Custom Cleaners
Date Form Received by Agency: 19960901
RCRA Listings:
586 ft. Site 1 of 4 in cluster G

0.111 mi.

Relative:

Higher
Actual:
199 ft.
< 1/8 CUPERTINO, CA 95014 ECHO
WNW 19705 STEVENS CRK BLVD FINDS CAD982022998
G64 WARDROB CUSTOM CLEANERS RCRA-SQG 1000205370
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Elevation Site Database(s) EPA ID Number
Evaluations: No Evaluations Found
Evaluation Action Summary:

Violations: No Violations Found
Facility Has Received Notices of Violations:

NAICS Codes: No NAICS Codes Found
List of NAICS Codes and Descriptions:

Electronic Manifest Broker: Not reported
Non Storage Recycler Activity: Not reported
Current Record: Yes
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Ca
Federal Waste Generator Description: Small Quantity Generator Handler Name: WARDROB CUSTOM CLEANERS
Receive Date: 19960901
Historic Generators:

Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 415-555-1212
Owner/Operator City,State,Zip: NOT REQUIRED, ME 99999
Owner/Operator Address: NOT REQUIRED
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Private
Owner/Operator Name: NOT REQUIRED
Owner/Operator Indicator: Operator
Handler - Owner Operator:

Sub-Part P Indicator: No
Manifest Broker: No
Recycler Activity Without Storage: No
Exporter of Spent Lead Acid Batteries: No
Importer of Spent Lead Acid Batteries: No
Recognized Trader-Exporter: No
Recognized Trader-Importer: No
Handler Date of Last Change: 20000915
Financial Assurance Required: Not reported
Significant Non-Complier With a Compliance Schedule Universe: No Addressed Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Significant Non-Complier Universe: No
Groundwater Controls Indicator: N/A
Human Exposure Controls Indicator: N/A
WARDROB CUSTOM CLEANERS (Continued) 1000205370
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Elevation Site Database(s) EPA ID Number
City,State,Zip: CUPERTINO, CA 95014
Address: 19705 STEVENS CRK BLVD
Name: WARDROB CUSTOM CLEANERS
DFR URL:

Registry ID: 110002779486
Envid: 1000205370
ECHO:
additional FINDS: detail in the EDR Site Report.

Click this hyperlink while viewing on your computer to access storers, and disposers of hazardous waste.
types of information about generators, transporters, treaters, Hazardous and Solid Waste Amendments (HSWA) of 1984. It tracks many Resource Conservation and Recovery Act (RCRA) of 1976 and the (RCRAInfo) is EPA’s comprehensive information system in support of the The Resource Conservation and Recovery Act Information System Environmental Interest/Information System:

Click Here for FRS Facility Detail Report:

Registry ID: 110002779486
FINDS:

WARDROB CUSTOM CLEANERS (Continued) 1000205370
Facility ID: FA0200801
Record ID: PR0314915
Longitude: -122.018327
Latitude: 37.323156
Program Identifier: DEH PERMIT-HAZ WASTE GENERATOR PROGRAM Program Description: GENERATES 100 KG TO < 5 TONS/YEAR
PE#: 2205
UDF Email: Not reported
Telephone: 4082530333
Region: SANTA CLARA
City,State,Zip: CUPERTINO, CA 95014
Address: 19701 STEVENS CREEK BL
Name: MINUTEMAN PRESS
CUPA SANTA CLARA:
586 ft. Site 2 of 4 in cluster G

0.111 mi.

Relative:

Higher
Actual:
199 ft.
< 1/8 CUPERTINO, CA 95014
WNW 19701 STEVENS CREEK BL N/A
G65 MINUTEMAN PRESS CUPA Listings S121468454
Region: SANTA CLARA
City,State,Zip: CUPERTINO, CA 95014
Address: 19705 STEVENS CREEK BL
Name: WARDROBE CUSTOM CLEANERS
CUPA SANTA CLARA:
586 ft. Site 3 of 4 in cluster G

0.111 mi.

Relative:

Higher
Actual:
199 ft.
< 1/8 CUPERTINO, CA 95014
WNW 19705 STEVENS CREEK BL N/A
G66 WARDROBE CUSTOM CLEANERS CUPA Listings S121468455
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Facility ID: FA0200802
Record ID: PR0314913
Longitude: -122.018367
Latitude: 37.323155
Program Identifier: DEH PERMIT-HAZ WASTE GENERATOR PROGRAM Program Description: GENERATES <100 KG/YR OR USED OIL ONLY PE#: 2202
UDF Email: Not reported
Telephone: 4082574966
WARDROBE CUSTOM CLEANERS (Continued) S121468455
1992 WHEELWRIGHTS CUSTOM CLEANING Drycleaning Plants, Except Rugs 1991 WHEELWRIGHTS CUSTOM CLEANING Drycleaning Plants, Except Rugs 1990 WHEELWRIGHTS CUSTOM CLEANING Drycleaning Plants, Except Rugs 1989 WHEELWRIGHTS CUSTOM CLEANING Drycleaning Plants, Except Rugs 1988 WHEELWRIGHTS CUSTOM CLEANING Drycleaning Plants, Except Rugs 1988 MELS CLEANERS Drycleaning Plants, Except Rugs
1987 WHEELWRIGHTS CUSTOM CLEANING Drycleaning Plants, Except Rugs 1987 MELS CLEANERS Drycleaning Plants, Except Rugs
1986 MELS CLEANERS Drycleaning Plants, Except Rugs
1986 WHEELWRIGHTS CTM CNG Drycleaning Plants, Except Rugs 1985 WHEELWRIGHTS CTM CNG Drycleaning Plants, Except Rugs 1985 MELS CLEANERS Drycleaning Plants, Except Rugs
1985 MELS CLEANERS Drycleaning Plants, Except Rugs
1983 MELS CLEANERS Drycleaning Plants, Except Rugs
1983 MELS CLEANERS Drycleaning Plants, Except Rugs
1983 WHEELWRIGHTS CTM CNG Drycleaning Plants, Except Rugs 1982 WHEELWRIGHTS CTM CNG Drycleaning Plants, Except Rugs 1982 MELS CLEANERS Drycleaning Plants, Except Rugs
1982 MELS CLEANERS Drycleaning Plants, Except Rugs
1980 WHEELWRIGHTS CTM CNG Drycleaning Plants, Except Rugs 1980 MELS CLEANERS Drycleaning Plants, Except Rugs
1980 MELS CLEANERS Drycleaning Plants, Except Rugs
1979 MELS CLEANERS Drycleaning Plants, Except Rugs
1979 MELS CLEANERS Drycleaning Plants, Except Rugs
1979 WHEELWRIGHTS CTM CNG Drycleaning Plants, Except Rugs 1978 MELS CLEANERS Drycleaning Plants, Except Rugs
1978 MELS CLEANERS Drycleaning Plants, Except Rugs
1978 WHEELWRIGHTS CUSTOM CLEANING Garment Pressing And Cleaners’ Agents 1977 MELS CLEANERS Drycleaning Plants, Except Rugs
1977 MELS CLEANERS Drycleaning Plants, Except Rugs
1977 WHEELWRIGHTS CUSTOM CLEANING Garment Pressing And Cleaners’ Agents 1976 MILAMIS CLEANERS Drycleaning Plants, Except Rugs
1975 MILAMIS CLEANERS Drycleaning Plants, Except Rugs
1974 MILAMS CLEANERS Drycleaning Plants, Except Rugs
1973 MILAMS CLEANERS Drycleaning Plants, Except Rugs
1972 MILANS Drycleaning Plants, Except Rugs
1971 MILAMS Drycleaning Plants, Except Rugs
1970 MILAN CLYDE & RUTH Drycleaning Plants, Except Rugs 1969 MILAN CLYDE & RUTH Drycleaning Plants, Except Rugs Year: Name: Type:

EDR Hist Cleaner
586 ft. Site 4 of 4 in cluster G

0.111 mi.

Relative:

Higher
Actual:
199 ft.
< 1/8 CUPERTINO, CA 95014
WNW 19705 STEVNS CRK BD N/A
G67 MELS CLEANERS EDR Hist Cleaner 1018878995
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1998 WARDROBE CUSTOM CLEANERS Drycleaning Plants, Except Rugs, NEC MELS CLEANERS (Continued) 1018878995
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Subject to Corrective Action Universe: No
202 GPRA Corrective Action Baseline: No
2018 GPRA Renewals Baseline: Not on the Baseline
2018 GPRA Permit Baseline: Not on the Baseline
Sub-Part K Indicator: Not reported
Hazardous Secondary Material Indicator: N
Federal Facility Indicator: Not reported
Active Site State-Reg Handler: ---
Federal Universal Waste: No
Universal Waste Destination Facility: No
Universal Waste Indicator: No
Off-Site Waste Receipt: No
Underground Injection Control: No
Smelting Melting and Refining Furnace Exemption: No
Small Quantity On-Site Burner Exemption: No
Recycler Activity with Storage: No
Transfer Facility Activity: No
Transporter Activity: No
Mixed Waste Generator: No
Importer Activity: No
Short-Term Generator Activity: No
Operator Type: Not reported
Operator Name: Not reported
Owner Type: Not reported
Owner Name: Not reported
Mailing City,State,Zip: FOSTER CITY, CA 94404
Mailing Address: 1157 TRITON DR STE B
State District: Not reported
State District Owner: Not reported
Active Site Indicator: Handler Activities
Accessibility: Not reported
Biennial Report Cycle: Not reported
Non-Notifier: Not reported
Federal Waste Generator Description: Small Quantity Generator Land Type: Private
EPA Region: 09
Contact Title: Not reported
Contact Email: Not reported
Contact Fax: Not reported
Contact Telephone: 650-578-9291
Contact City,State,Zip: Not reported
Contact Address: Not reported
Contact Name: SCOTT R YARDLEY
EPA ID: CAD983667304
Handler City,State,Zip: CUPERTINO, CA 95014
Handler Address: 19123 N Wolfe Rd Ms 2165
Handler Name: The Picture People
Date Form Received by Agency: 20020219
RCRA Listings:
604 ft. Site 9 of 9 in cluster F

0.114 mi.

Relative:

Lower
Actual:
193 ft.
< 1/8 CUPERTINO, CA 95014 ECHO
NNE 19123 N WOLFE RD MS 2165 FINDS CAD983667304
F68 THE PICTURE PEOPLE RCRA-SQG 1000857317
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Elevation Site Database(s) EPA ID Number
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Small Quantity Generator Handler Name: EXPRESSLY PORTRAITS INC
Receive Date: 19930506
Electronic Manifest Broker: Not reported
Non Storage Recycler Activity: Not reported
Current Record: Yes
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Small Quantity Generator Handler Name: THE PICTURE PEOPLE
Receive Date: 20020219
Historic Generators:

Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 415-578-9291
Owner/Operator City,State,Zip: FOSTER CITY, CA 94404
Owner/Operator Address: 1151 TRITON DR STE C
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Private
Owner/Operator Name: EXPRESSLY PORTRAITS INC
Owner/Operator Indicator: Owner
Handler - Owner Operator:

Click Here for Biennial Reporting System Data:

Year: 2001
Biennial: List of Years
Sub-Part P Indicator: No
Manifest Broker: No
Recycler Activity Without Storage: No
Exporter of Spent Lead Acid Batteries: No
Importer of Spent Lead Acid Batteries: No
Recognized Trader-Exporter: No
Recognized Trader-Importer: No
Handler Date of Last Change: 20060905
Financial Assurance Required: Not reported
Significant Non-Complier With a Compliance Schedule Universe: No Addressed Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Significant Non-Complier Universe: No
Groundwater Controls Indicator: N/A
Human Exposure Controls Indicator: N/A
Institutional Control Indicator: No
Environmental Control Indicator: No
Corrective Action Priority Ranking: No NCAPS ranking
THE PICTURE PEOPLE (Continued) 1000857317
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Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
additional FINDS: detail in the EDR Site Report.

Click this hyperlink while viewing on your computer to access storers, and disposers of hazardous waste.
types of information about generators, transporters, treaters, Hazardous and Solid Waste Amendments (HSWA) of 1984. It tracks many Resource Conservation and Recovery Act (RCRA) of 1976 and the (RCRAInfo) is EPA’s comprehensive information system in support of the The Resource Conservation and Recovery Act Information System within the RCRA Information (RCRAInfo) database
Recovery Act (RCRA) Hazardous Waste Report. This data is processed used to create the National Biennial Resource Conservation and Administrator at least once every two years. The data collected is who handle hazardous waste are required to report to the EPA All generators and treatment, storage, and disposal (TSD) facilities Environmental Interest/Information System:

Click Here for FRS Facility Detail Report:

Registry ID: 110002898428
FINDS:

Evaluations: No Evaluations Found
Evaluation Action Summary:

Violations: No Violations Found
Facility Has Received Notices of Violations:

NAICS Description: Photofinishing Laboratories (Except One-Hour) NAICS Code: 812921
NAICS Description: All Other Miscellaneous Store Retailers (Except Tobacco Stores) NAICS Code: 453998
List of NAICS Codes and Descriptions:

Electronic Manifest Broker: Not reported
Non Storage Recycler Activity: Not reported
Current Record: No
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Large Quantity Generator Handler Name: THE PICTURE PEOPLE
Receive Date: 20020219
Electronic Manifest Broker: Not reported
Non Storage Recycler Activity: Not reported
Current Record: No
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
THE PICTURE PEOPLE (Continued) 1000857317
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City,State,Zip: CUPERTINO, CA 95014
Address: 19123 N WOLFE RD MS 2165
Name: THE PICTURE PEOPLE
DFR URL:

Registry ID: 110002898428
Envid: 1000857317
ECHO:

THE PICTURE PEOPLE (Continued) 1000857317
Active Site State-Reg Handler: ---
Federal Universal Waste: No
Universal Waste Destination Facility: No
Universal Waste Indicator: No
Off-Site Waste Receipt: No
Underground Injection Control: No
Smelting Melting and Refining Furnace Exemption: No
Small Quantity On-Site Burner Exemption: No
Recycler Activity with Storage: No
Transfer Facility Activity: No
Transporter Activity: No
Mixed Waste Generator: No
Importer Activity: No
Short-Term Generator Activity: No
Operator Type: Other
Operator Name: Senthil Palanisamy
Owner Type: Other
Owner Name: Senthil Palanisamy
Mailing City,State,Zip: CUPERTINO, CA 95014
Mailing Address: 10221 VICKSBURG DRIVE
State District: Not reported
State District Owner: Not reported
Active Site Indicator: Not reported
Accessibility: Not reported
Biennial Report Cycle: Not reported
Non-Notifier: Not reported
Federal Waste Generator Description: Not a generator, verified Land Type: Not reported
EPA Region: 09
Contact Title: Not reported
Contact Email: [email protected]
Contact Fax: Not reported
Contact Telephone: 408-839-4580
Contact City,State,Zip: CUPERTINO, CA 95014
Contact Address: 10221 VICKSBURG DRIVE
Contact Name: SENTHIL PALANISAMY
EPA ID: CAC002985289
Handler City,State,Zip: CUPERTINO, CA 95014
Handler Address: 10221 Vicksburg Drive
Handler Name: 10221 Vicksburg Drive
Date Form Received by Agency: 20181017
RCRA Listings:
638 ft.

0.121 mi.

Relative:

Higher
Actual:
206 ft.
< 1/8 CUPERTINO, CA 95014
South 10221 VICKSBURG DRIVE E MANIFEST CAC002985289
69 10221 VICKSBURG DRIVE RCRA NonGen / NLR 1024765420
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Handler Name: 10221 VICKSBURG DRIVE
Receive Date: 20181017
Historic Generators:

Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 408-839-4580
Owner/Operator City,State,Zip: CUPERTINO, CA 95014
Owner/Operator Address: 10221 VICKSBURG DRIVE
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: SENTHIL PALANISAMY
Owner/Operator Indicator: Operator
Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 408-839-4580
Owner/Operator City,State,Zip: CUPERTINO, CA 95014
Owner/Operator Address: 10221 VICKSBURG DRIVE
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: SENTHIL PALANISAMY
Owner/Operator Indicator: Owner
Handler - Owner Operator:

Sub-Part P Indicator: No
Manifest Broker: No
Recycler Activity Without Storage: No
Exporter of Spent Lead Acid Batteries: No
Importer of Spent Lead Acid Batteries: No
Recognized Trader-Exporter: No
Recognized Trader-Importer: No
Handler Date of Last Change: 20241211
Financial Assurance Required: Not reported
Significant Non-Complier With a Compliance Schedule Universe: No Addressed Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Significant Non-Complier Universe: No
Groundwater Controls Indicator: N/A
Human Exposure Controls Indicator: N/A
Institutional Control Indicator: No
Environmental Control Indicator: No
Corrective Action Priority Ranking: No NCAPS ranking
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Subject to Corrective Action Universe: No
202 GPRA Corrective Action Baseline: No
2018 GPRA Renewals Baseline: Not on the Baseline
2018 GPRA Permit Baseline: Not on the Baseline
Sub-Part K Indicator: Not reported
Hazardous Secondary Material Indicator: N
Federal Facility Indicator: Not reported
10221 VICKSBURG DRIVE (Continued) 1024765420
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Designated Facility Location Street 1: 10840 ALTAMONT PASS RD Designated Facility Location Street Number: 10840
Designated Facility Mail State: CA
Designated Facility Mail Zip: 94551
Designated Facility Mail City: LIVERMORE
Designated Facility Mail Street 2: 10840 ALTAMONT PASS RD Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 10840
Designated Facility Name: Altamont Landfill & Resource Recovery Facility Designated Facility EPA ID: CAD981382732
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 95014
Generator Mail City: CUPERTINO
Generator Mail Street 2: Not reported
Generator Mail Street 1: 10221 VICKSBURG DRIVE
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10221 VICKSBURG DRIVE
Generator Location Street Number: Not reported
Generator Name: Senthil Palanisamy
Generator EPA ID: CAC002985289
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20181114
Shipped Date: 20181101
Last Updated Date: 20181128
Manifest Tracking Number: 017864395JJK
E MANIFEST:

Evaluations: No Evaluations Found
Evaluation Action Summary:

Violations: No Violations Found
Facility Has Received Notices of Violations:

NAICS Description: All Other Waste Management Services
NAICS Code: 56299
List of NAICS Codes and Descriptions:

Electronic Manifest Broker: No
Non Storage Recycler Activity: No
Current Record: Yes
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Not a generator, verified 10221 VICKSBURG DRIVE (Continued) 1024765420
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Elevation Site Database(s) EPA ID Number
Quantity Haz Kg: 0
Federal Waste Codes: Not reported
EPA Waste Indicator: N
Consent Number: Not reported
Waste Minimization Code Description: Not reported
Waste Minimization Code: Not reported
Source Code Description: Not reported
Source Code: Not reported
Form Code Description: Not reported
Form Code: Not reported
Waste Density Unit of Measure Description: Not reported Waste Density Unit of Measure Code: Not reported
Waste Density: Not reported
Waste Type Discrepancy Indicator: N
Quantity Discrepancy Indicator: N
Waste Residue Indicator: N
Management Method Description: LANDFILL (WITH PRIOR TREATMENT AND/OR STABILIZATION) Management Method Code: H132
Non-Acute Waste Quantity, in Kilorgrams: 1523.8104
Acute Waste Quantity, in Kilograms: 0
Waste Quantity, in Kilograms: 1523.8104
Non-Acute Waste Quantity, in Tons: 1.68
Acute Waste Quantity, in Tons: 0
Waste Quantity, in Tons: 1.68
Quantity Unit of Measure Description: Cubic Yards
Quantity Unit of Measure Code: Y
Waste Quantity: 2
Container Type Description: Burlap, cloth, paper, or plastic bags Container Type Code: BA
Number of Containers: 23
Non-Hazardous Waste Description: Not reported
U.S. DOT Description: Rq, Na2212, Asbestos, 9, Pgiii
U.S. DOT ID Number: NA2212
U.S. DOT Hazardous Indicator: Y
Waste Line Number: 1
Manifest Tracking Number: 017864395JJK
Waste Line:

Transporter Name: World Environmental And Energy Inc
Transporter EPA ID: CAR000037283
Transporter Line Number: 2
Manifest Tracking Number: 017864395JJK
Transporter Name: Z Con Specialty Services Inc
Transporter EPA ID: CAR000049957
Transporter Line Number: 1
Manifest Tracking Number: 017864395JJK
Transporter:

Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 94551
Designated Facility Location City: LIVERMORE
Designated Facility Location Street 2: Not reported
10221 VICKSBURG DRIVE (Continued) 1024765420
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State Waste Codes: CA-151
Quantity Non Haz Tons: 1.68
Quantity Non Haz Kg: 1523.8104
Quantity Haz Tons: 0
10221 VICKSBURG DRIVE (Continued) 1024765420
2018 GPRA Renewals Baseline: Not on the Baseline
2018 GPRA Permit Baseline: Not on the Baseline
Sub-Part K Indicator: Not reported
Hazardous Secondary Material Indicator: N
Federal Facility Indicator: Not reported
Active Site State-Reg Handler: ---
Federal Universal Waste: No
Universal Waste Destination Facility: No
Universal Waste Indicator: No
Off-Site Waste Receipt: No
Underground Injection Control: No
Smelting Melting and Refining Furnace Exemption: No
Small Quantity On-Site Burner Exemption: No
Recycler Activity with Storage: No
Transfer Facility Activity: No
Transporter Activity: No
Mixed Waste Generator: No
Importer Activity: No
Short-Term Generator Activity: No
Operator Type: Other
Operator Name: Joshua Vergara
Owner Type: Other
Owner Name: Daiso California Llc
Mailing City,State,Zip: LA MIRADA, CA 90638
Mailing Address: 16400 TROJAN WAY
State District: Not reported
State District Owner: Not reported
Active Site Indicator: Not reported
Accessibility: Not reported
Biennial Report Cycle: Not reported
Non-Notifier: Not reported
Federal Waste Generator Description: Not a generator, verified Land Type: Not reported
EPA Region: 09
Contact Title: Not reported
Contact Email: [email protected]
Contact Fax: Not reported
Contact Telephone: 510-330-3849
Contact City,State,Zip: LA MIRADA, CA 90638
Contact Address: 16400 TROJAN WAY
Contact Name: JOSHUA VERGARA
EPA ID: CAL000482526
Handler City,State,Zip: CUPERTINO, CA 95014
Handler Address: 19750 Stevens Creek Blvd
Handler Name: Daiso 6986
Date Form Received by Agency: 20231214
RCRA Listings:
642 ft. Site 1 of 2 in cluster H

0.122 mi.

Relative:

Higher
Actual:
203 ft.
< 1/8 CUPERTINO, CA 95014
WSW 19750 STEVENS CREEK BLVD CAL000482526
H70 DAISO 6986 RCRA NonGen / NLR 1031062427
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Elevation Site Database(s) EPA ID Number
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Not a generator, verified Handler Name: DAISO 6986
Receive Date: 20231214
Historic Generators:

Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 206-697-4447
Owner/Operator City,State,Zip: LA MIRADA, CA 90638
Owner/Operator Address: 16400 TROJAN WAY
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: DAISO CALIFORNIA LLC
Owner/Operator Indicator: Owner
Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 510-330-3849
Owner/Operator City,State,Zip: LA MIRADA, CA 90638
Owner/Operator Address: 16400 TROJAN WAY
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: JOSHUA VERGARA
Owner/Operator Indicator: Operator
Handler - Owner Operator:

Sub-Part P Indicator: No
Manifest Broker: No
Recycler Activity Without Storage: No
Exporter of Spent Lead Acid Batteries: No
Importer of Spent Lead Acid Batteries: No
Recognized Trader-Exporter: No
Recognized Trader-Importer: No
Handler Date of Last Change: 20231215
Financial Assurance Required: Not reported
Significant Non-Complier With a Compliance Schedule Universe: No Addressed Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Significant Non-Complier Universe: No
Groundwater Controls Indicator: N/A
Human Exposure Controls Indicator: N/A
Institutional Control Indicator: No
Environmental Control Indicator: No
Corrective Action Priority Ranking: No NCAPS ranking
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Subject to Corrective Action Universe: No
202 GPRA Corrective Action Baseline: No
DAISO 6986 (Continued) 1031062427
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Evaluations: No Evaluations Found
Evaluation Action Summary:

Violations: No Violations Found
Facility Has Received Notices of Violations:

NAICS Description: All Other General Merchandise Retailers NAICS Code: 455219
List of NAICS Codes and Descriptions:

Electronic Manifest Broker: No
Non Storage Recycler Activity: No
Current Record: Yes
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
DAISO 6986 (Continued) 1031062427
Owner Phone: Not reported
Owner City,State,Zip: LA MIRADA, CA 90638
Owner Address 2: Not reported
Owner Address: 16400 TROJAN WAY
Owner Name: DAISO CALIFORNIA LLC
Mailing City,State,Zip: LA MIRADA, CA 90638
Mailing Address 2: Not reported
Mailing Address: 16400 TROJAN WAY
Mailing Name: Not reported
Last Act Date: Not reported
Create Date: 12/14/2023
Inactive Date: Not reported
EPA ID: CAL000482526
City,State,Zip: CUPERTINO, CA 95014
Address 2: Not reported
Address: 19750 STEVENS CREEK BLVD
Name: DAISO 6986
HWTS:

Facility ID: FA0200808
Record ID: PR0340525
Longitude: -122.018895
Latitude: 37.322701
Program Identifier: DEH PERMIT-HAZ WASTE GENERATOR PROGRAM Program Description: GENERATES < 10 GAL/YR
PE#: 2240
UDF Email: [email protected]
Telephone: 4082557622
Region: SANTA CLARA
City,State,Zip: CUPERTINO, CA 95014
Address: 19750 STEVENS CREEK BL
Name: LONG’S DRUG STORE #114
CUPA SANTA CLARA:
642 ft. Site 2 of 2 in cluster H

0.122 mi.

Relative:

Higher
Actual:
203 ft.
< 1/8 CUPERTINO, CA 95014
WSW 19750 STEVENS CREEK BLVD HWTS N/A
H71 DAISO 6986 CUPA Listings S121468458
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Longitude: -122.01857496
Latitude: 37.322842530000003
Category: State
Facility Type: Permanent
Facility Status: Active
Contact Fax: Not reported
Contact Phone: Not reported
City,State,Zip: LA MIRADA, CA 90638
Contact Address 2: Not reported
Contact Address: 16400 TROJAN WAY
Contact Name: JOSHUA VERGARA
Owner Fax: Not reported
DAISO 6986 (Continued) S121468458
Universal Waste Indicator: Yes
Off-Site Waste Receipt: No
Underground Injection Control: No
Smelting Melting and Refining Furnace Exemption: No
Small Quantity On-Site Burner Exemption: No
Recycler Activity with Storage: No
Transfer Facility Activity: No
Transporter Activity: No
Mixed Waste Generator: No
Importer Activity: No
Short-Term Generator Activity: No
Operator Type: Other
Operator Name: Carol Thomas
Owner Type: Other
Owner Name: Carol Thomas
Mailing City,State,Zip: LAYTON, UT 84040
Mailing Address: 197 BOYNTON ROAD
State District: Not reported
State District Owner: Not reported
Active Site Indicator: Handler Activities
Accessibility: Not reported
Biennial Report Cycle: Not reported
Non-Notifier: Not reported
Federal Waste Generator Description: Not a generator, verified Land Type: Not reported
EPA Region: 09
Contact Title: Not reported
Contact Email: [email protected]
Contact Fax: Not reported
Contact Telephone: 801-682-9590
Contact City,State,Zip: LAYTON, UT 84040
Contact Address: 197 BOYNTON ROAD
Contact Name: CAROL THOMAS
EPA ID: CAC002984767
Handler City,State,Zip: CUPERTINO, CA 95014
Handler Address: 19472 Rosemarie Place #3
Handler Name: Rosemarie Place
Date Form Received by Agency: 20181012
RCRA Listings:
671 ft.

0.127 mi.

Relative:

Lower
Actual:
195 ft.
1/8-1/4 CUPERTINO, CA 95014
SE 19472 ROSEMARIE PLACE #3 E MANIFEST CAC002984767
72 ROSEMARIE PLACE RCRA NonGen / NLR 1024764899
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Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 801-682-9590
Owner/Operator City,State,Zip: LAYTON, UT 84040
Owner/Operator Address: 197 BOYNTON ROAD
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: CAROL THOMAS
Owner/Operator Indicator: Operator
Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 801-682-9590
Owner/Operator City,State,Zip: CUPERTINO, CA 95014
Owner/Operator Address: 19472 ROSEMARIE PLACE #3
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: CAROL THOMAS
Owner/Operator Indicator: Owner
Handler - Owner Operator:

Sub-Part P Indicator: No
Manifest Broker: No
Recycler Activity Without Storage: No
Exporter of Spent Lead Acid Batteries: No
Importer of Spent Lead Acid Batteries: No
Recognized Trader-Exporter: No
Recognized Trader-Importer: No
Handler Date of Last Change: 20181120
Financial Assurance Required: Not reported
Significant Non-Complier With a Compliance Schedule Universe: No Addressed Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Significant Non-Complier Universe: No
Groundwater Controls Indicator: N/A
Human Exposure Controls Indicator: N/A
Institutional Control Indicator: No
Environmental Control Indicator: No
Corrective Action Priority Ranking: No NCAPS ranking
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Subject to Corrective Action Universe: No
202 GPRA Corrective Action Baseline: No
2018 GPRA Renewals Baseline: Not on the Baseline
2018 GPRA Permit Baseline: Not on the Baseline
Sub-Part K Indicator: Not reported
Hazardous Secondary Material Indicator: N
Federal Facility Indicator: Not reported
Active Site State-Reg Handler: ---
Federal Universal Waste: No
Universal Waste Destination Facility: Yes
ROSEMARIE PLACE (Continued) 1024764899
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Designated Facility Mail Zip: 95688
Designated Facility Mail City: VACAVILLE
Designated Facility Mail Street 2: 831 DAVIS ST
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: Not reported
Designated Facility Name: B & J Landfill
Designated Facility EPA ID: CAD982042475
Generator Contact Company Name: Not reported
Generator Mail State: UT
Generator Mail Zip: 84040
Generator Mail City: LAYTON
Generator Mail Street 2: Carol Thomas
Generator Mail Street 1: 197 BOYNTON ROAD
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 19472 ROSEMARIE PLACE #3
Generator Location Street Number: Not reported
Generator Name: Rosemarie Place
Generator EPA ID: CAC002984767
Origin Type: Mail
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20181112
Shipped Date: 20181102
Last Updated Date: 20190510
Manifest Tracking Number: 015583983JJK
E MANIFEST:

Evaluations: No Evaluations Found
Evaluation Action Summary:

Violations: No Violations Found
Facility Has Received Notices of Violations:

NAICS Description: All Other Waste Management Services
NAICS Code: 56299
List of NAICS Codes and Descriptions:

Electronic Manifest Broker: Not reported
Non Storage Recycler Activity: Not reported
Current Record: Yes
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Not a generator, verified Handler Name: ROSEMARIE PLACE
Receive Date: 20181012
Historic Generators:

ROSEMARIE PLACE (Continued) 1024764899
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Transporter Name: Alliance Evironmental Group
Transporter EPA ID: CAL000160111
Transporter Line Number: 1
Manifest Tracking Number: 015583984JJK
Transporter:

Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95688
Designated Facility Location City: VACAVILLE
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: 6426 HAY RD
Designated Facility Location Street Number: Not reported Designated Facility Mail State: CA
Designated Facility Mail Zip: 95688
Designated Facility Mail City: VACAVILLE
Designated Facility Mail Street 2: 831 DAVIS ST
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: Not reported
Designated Facility Name: B & J Landfill
Designated Facility EPA ID: CAD982042475
Generator Contact Company Name: Not reported
Generator Mail State: UT
Generator Mail Zip: 84040
Generator Mail City: LAYTON
Generator Mail Street 2: Not reported
Generator Mail Street 1: 197 BOYNTON ROAD
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 19472 ROSEMARIE PLACE #3
Generator Location Street Number: Not reported
Generator Name: Rosemarie Place
Generator EPA ID: CAC002984767
Origin Type: Mail
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20181018
Shipped Date: 20181015
Last Updated Date: 20190410
Manifest Tracking Number: 015583984JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95688
Designated Facility Location City: VACAVILLE
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: 6426 HAY RD
Designated Facility Location Street Number: Not reported Designated Facility Mail State: CA
ROSEMARIE PLACE (Continued) 1024764899
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Elevation Site Database(s) EPA ID Number
State Waste Codes: CA-151
Quantity Non Haz Tons: 1.68
Quantity Non Haz Kg: 1523.8104
Quantity Haz Tons: 0
Quantity Haz Kg: 0
Federal Waste Codes: Not reported
EPA Waste Indicator: N
Consent Number: Not reported
Waste Minimization Code Description: Not reported
Waste Minimization Code: Not reported
Source Code Description: Not reported
Source Code: Not reported
Form Code Description: Not reported
Form Code: Not reported
Waste Density Unit of Measure Description: Not reported Waste Density Unit of Measure Code: Not reported
Waste Density: Not reported
Waste Type Discrepancy Indicator: N
Quantity Discrepancy Indicator: N
Waste Residue Indicator: N
Management Method Description: LANDFILL (WITH PRIOR TREATMENT AND/OR STABILIZATION) Management Method Code: H132
Non-Acute Waste Quantity, in Kilorgrams: 1523.8104
Acute Waste Quantity, in Kilograms: 0
Waste Quantity, in Kilograms: 1523.8104
Non-Acute Waste Quantity, in Tons: 1.68
Acute Waste Quantity, in Tons: 0
Waste Quantity, in Tons: 1.68
Quantity Unit of Measure Description: Cubic Yards
Quantity Unit of Measure Code: Y
Waste Quantity: 2
Container Type Description: Burlap, cloth, paper, or plastic bags Container Type Code: BA
Number of Containers: 30
Non-Hazardous Waste Description: Not reported
U.S. DOT Description: Rq Na2212, Asbestos, 9, Pgiii
U.S. DOT ID Number: NA2212
U.S. DOT Hazardous Indicator: Y
Waste Line Number: 1
Manifest Tracking Number: 015583984JJK
Waste Line:

Transporter Name: E C T I
Transporter EPA ID: CAR000049064
Transporter Line Number: 2
Manifest Tracking Number: 015583984JJK
ROSEMARIE PLACE (Continued) 1024764899
Handler Address: 19698 Wheaton Dr
Handler Name: 19698 Wheaton Dr
Date Form Received by Agency: 20190702
RCRA Listings:
682 ft. Site 1 of 2 in cluster I

0.129 mi.

Relative:

Lower
Actual:
196 ft.
1/8-1/4 CUPERTINO, CA 95014
NW 19698 WHEATON DR E MANIFEST CAC003022302
I73 19698 WHEATON DR RCRA NonGen / NLR 1025842692
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Handler Date of Last Change: 20241211
Financial Assurance Required: Not reported
Significant Non-Complier With a Compliance Schedule Universe: No Addressed Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Significant Non-Complier Universe: No
Groundwater Controls Indicator: N/A
Human Exposure Controls Indicator: N/A
Institutional Control Indicator: No
Environmental Control Indicator: No
Corrective Action Priority Ranking: No NCAPS ranking
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Subject to Corrective Action Universe: No
202 GPRA Corrective Action Baseline: No
2018 GPRA Renewals Baseline: Not on the Baseline
2018 GPRA Permit Baseline: Not on the Baseline
Sub-Part K Indicator: Not reported
Hazardous Secondary Material Indicator: N
Federal Facility Indicator: Not reported
Active Site State-Reg Handler: ---
Federal Universal Waste: No
Universal Waste Destination Facility: No
Universal Waste Indicator: No
Off-Site Waste Receipt: No
Underground Injection Control: No
Smelting Melting and Refining Furnace Exemption: No
Small Quantity On-Site Burner Exemption: No
Recycler Activity with Storage: No
Transfer Facility Activity: No
Transporter Activity: No
Mixed Waste Generator: No
Importer Activity: No
Short-Term Generator Activity: No
Operator Type: Other
Operator Name: Bill Hershey
Owner Type: Other
Owner Name: Bill Hershey
Mailing City,State,Zip: CUPERTINO, CA 95014
Mailing Address: 19698 WHEATON DR
State District: Not reported
State District Owner: Not reported
Active Site Indicator: Not reported
Accessibility: Not reported
Biennial Report Cycle: Not reported
Non-Notifier: Not reported
Federal Waste Generator Description: Not a generator, verified Land Type: Not reported
EPA Region: 09
Contact Title: Not reported
Contact Email: [email protected]
Contact Fax: Not reported
Contact Telephone: 408-497-8025
Contact City,State,Zip: CUPERTINO, CA 95014
Contact Address: 19698 WHEATON DR
Contact Name: BILL HERSHEY
EPA ID: CAC003022302
Handler City,State,Zip: CUPERTINO, CA 95014
19698 WHEATON DR (Continued) 1025842692
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Violations: No Violations Found
Facility Has Received Notices of Violations:

NAICS Description: All Other Waste Management Services
NAICS Code: 56299
List of NAICS Codes and Descriptions:

Electronic Manifest Broker: No
Non Storage Recycler Activity: No
Current Record: Yes
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Not a generator, verified Handler Name: 19698 WHEATON DR
Receive Date: 20190702
Historic Generators:

Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 408-497-8025
Owner/Operator City,State,Zip: CUPERTINO, CA 95014
Owner/Operator Address: 19698 WHEATON DR
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: BILL HERSHEY
Owner/Operator Indicator: Owner
Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 408-497-8025
Owner/Operator City,State,Zip: CUPERTINO, CA 95014
Owner/Operator Address: 19698 WHEATON DR
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: BILL HERSHEY
Owner/Operator Indicator: Operator
Handler - Owner Operator:

Sub-Part P Indicator: No
Manifest Broker: No
Recycler Activity Without Storage: No
Exporter of Spent Lead Acid Batteries: No
Importer of Spent Lead Acid Batteries: No
Recognized Trader-Exporter: No
Recognized Trader-Importer: No
19698 WHEATON DR (Continued) 1025842692
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Transporter Name: Uni Waste Llc
Transporter EPA ID: CAR000272773
Transporter Line Number: 2
Manifest Tracking Number: 020135740JJK
Transporter Name: Synergy Enterprises Inc
Transporter EPA ID: CAL000291177
Transporter Line Number: 1
Manifest Tracking Number: 020135740JJK
Transporter:

Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 94551
Designated Facility Location City: LIVERMORE
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: 10840 ALTAMONT PASS RD Designated Facility Location Street Number: 10840
Designated Facility Mail State: CA
Designated Facility Mail Zip: 94551
Designated Facility Mail City: LIVERMORE
Designated Facility Mail Street 2: 10840 ALTAMONT PASS RD Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 10840
Designated Facility Name: Altamont Landfill & Resource Recovery Facility Designated Facility EPA ID: CAD981382732
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 95014
Generator Mail City: Cupertino
Generator Mail Street 2: Not reported
Generator Mail Street 1: 19698 Wheaton Dr
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 19698 WHEATON DR
Generator Location Street Number: Not reported
Generator Name: Bill Hershey Sr78261
Generator EPA ID: CAC003022302
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20190709
Shipped Date: 20190709
Last Updated Date: 20190723
Manifest Tracking Number: 020135740JJK
E MANIFEST:

Evaluations: No Evaluations Found
Evaluation Action Summary:
19698 WHEATON DR (Continued) 1025842692
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Elevation Site Database(s) EPA ID Number
State Waste Codes: CA-151
Quantity Non Haz Tons: 0.84
Quantity Non Haz Kg: 761.9052
Quantity Haz Tons: 0
Quantity Haz Kg: 0
Federal Waste Codes: Not reported
EPA Waste Indicator: N
Consent Number: Not reported
Waste Minimization Code Description: Not reported
Waste Minimization Code: Not reported
Source Code Description: Not reported
Source Code: Not reported
Form Code Description: Not reported
Form Code: Not reported
Waste Density Unit of Measure Description: Not reported Waste Density Unit of Measure Code: Not reported
Waste Density: Not reported
Waste Type Discrepancy Indicator: N
Quantity Discrepancy Indicator: N
Waste Residue Indicator: N
Management Method Description: LANDFILL (WITH PRIOR TREATMENT AND/OR STABILIZATION) Management Method Code: H132
Non-Acute Waste Quantity, in Kilorgrams: 761.9052
Acute Waste Quantity, in Kilograms: 0
Waste Quantity, in Kilograms: 761.9052
Non-Acute Waste Quantity, in Tons: 0.84
Acute Waste Quantity, in Tons: 0
Waste Quantity, in Tons: 0.84
Quantity Unit of Measure Description: Cubic Yards
Quantity Unit of Measure Code: Y
Waste Quantity: 1
Container Type Description: Burlap, cloth, paper, or plastic bags Container Type Code: BA
Number of Containers: 10
Non-Hazardous Waste Description: Not reported
U.S. DOT Description: Na2212, Asbestos, 9, Pg Iii, Rq
U.S. DOT ID Number: NA2212
U.S. DOT Hazardous Indicator: Y
Waste Line Number: 1
Manifest Tracking Number: 020135740JJK
Waste Line:
19698 WHEATON DR (Continued) 1025842692
Contact City,State,Zip: CUPERTINO, CA 95014
Contact Address: 10196 AVOCADO PLACE
Contact Name: JACK MCKEOWN
EPA ID: CAC003175468
Handler City,State,Zip: CUPERTINO, CA 95014
Handler Address: 10196 Avocado Place
Handler Name: Jack Mckeown
Date Form Received by Agency: 20220510
RCRA Listings:
725 ft.

0.137 mi.

Relative:

Higher
Actual:
207 ft.
1/8-1/4 CUPERTINO, CA 95014
SW 10196 AVOCADO PLACE E MANIFEST CAC003175468
74 JACK MCKEOWN RCRA NonGen / NLR 1027211075
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Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Recycler Activity Without Storage: No
Exporter of Spent Lead Acid Batteries: No
Importer of Spent Lead Acid Batteries: No
Recognized Trader-Exporter: No
Recognized Trader-Importer: No
Handler Date of Last Change: 20220511
Financial Assurance Required: Not reported
Significant Non-Complier With a Compliance Schedule Universe: No Addressed Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Significant Non-Complier Universe: No
Groundwater Controls Indicator: N/A
Human Exposure Controls Indicator: N/A
Institutional Control Indicator: No
Environmental Control Indicator: No
Corrective Action Priority Ranking: No NCAPS ranking
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Subject to Corrective Action Universe: No
202 GPRA Corrective Action Baseline: No
2018 GPRA Renewals Baseline: Not on the Baseline
2018 GPRA Permit Baseline: Not on the Baseline
Sub-Part K Indicator: Not reported
Hazardous Secondary Material Indicator: N
Federal Facility Indicator: Not reported
Active Site State-Reg Handler: ---
Federal Universal Waste: No
Universal Waste Destination Facility: No
Universal Waste Indicator: No
Off-Site Waste Receipt: No
Underground Injection Control: No
Smelting Melting and Refining Furnace Exemption: No
Small Quantity On-Site Burner Exemption: No
Recycler Activity with Storage: No
Transfer Facility Activity: No
Transporter Activity: No
Mixed Waste Generator: No
Importer Activity: No
Short-Term Generator Activity: No
Operator Type: Other
Operator Name: Jack Mckeown
Owner Type: Other
Owner Name: Jack Mckeown
Mailing City,State,Zip: CUPERTINO, CA 95014
Mailing Address: 10196 AVOCADO PLACE
State District: Not reported
State District Owner: Not reported
Active Site Indicator: Not reported
Accessibility: Not reported
Biennial Report Cycle: Not reported
Non-Notifier: Not reported
Federal Waste Generator Description: Not a generator, verified Land Type: Not reported
EPA Region: 09
Contact Title: Not reported
Contact Email: [email protected]
Contact Fax: Not reported
Contact Telephone: 408-255-4268
JACK MCKEOWN (Continued) 1027211075
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Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Evaluations: No Evaluations Found
Evaluation Action Summary:

Violations: No Violations Found
Facility Has Received Notices of Violations:

NAICS Description: All Other Waste Management Services
NAICS Code: 56299
List of NAICS Codes and Descriptions:

Electronic Manifest Broker: No
Non Storage Recycler Activity: No
Current Record: Yes
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Not a generator, verified Handler Name: JACK MCKEOWN
Receive Date: 20220510
Historic Generators:

Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 408-255-4268
Owner/Operator City,State,Zip: CUPERTINO, CA 95014
Owner/Operator Address: 10196 AVOCADO PLACE
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: JACK MCKEOWN
Owner/Operator Indicator: Operator
Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 408-255-4268
Owner/Operator City,State,Zip: CUPERTINO, CA 95014
Owner/Operator Address: 10196 AVOCADO PLACE
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: JACK MCKEOWN
Owner/Operator Indicator: Owner
Handler - Owner Operator:

Sub-Part P Indicator: No
Manifest Broker: No
JACK MCKEOWN (Continued) 1027211075
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Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
U.S. DOT Hazardous Indicator: Y
Waste Line Number: 1
Manifest Tracking Number: 022567480JJK
Waste Line:

Transporter Name: Uni Waste Llc
Transporter EPA ID: CAR000272773
Transporter Line Number: 2
Manifest Tracking Number: 022567480JJK
Transporter Name: Synergy Ee Inc
Transporter EPA ID: CAL000438487
Transporter Line Number: 1
Manifest Tracking Number: 022567480JJK
Transporter:

Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 94551
Designated Facility Location City: LIVERMORE
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: ALTAMONT PASS RD Designated Facility Location Street Number: 10840
Designated Facility Mail State: CA
Designated Facility Mail Zip: 94551
Designated Facility Mail City: LIVERMORE
Designated Facility Mail Street 2: ALTAMONT PASS RD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 10840
Designated Facility Name: Altamont Landfill & Resource Recovery Facility Designated Facility EPA ID: CAD981382732
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 95014
Generator Mail City: CUPERTINO
Generator Mail Street 2: Not reported
Generator Mail Street 1: 10196 AVOCADO PLACE
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10196 AVOCADO PLACE
Generator Location Street Number: Not reported
Generator Name: Jack Mckeown
Generator EPA ID: CAC003175468
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20220517
Shipped Date: 20220513
Last Updated Date: 20231218
Manifest Tracking Number: 022567480JJK
E MANIFEST:

JACK MCKEOWN (Continued) 1027211075
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Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
State Waste Codes: CA-151
Quantity Non Haz Tons: 0.84
Quantity Non Haz Kg: 761.9052
Quantity Haz Tons: Not reported
Quantity Haz Kg: Not reported
Federal Waste Codes: Not reported
EPA Waste Indicator: N
Consent Number: Not reported
Waste Minimization Code Description: Not reported
Waste Minimization Code: Not reported
Source Code Description: Not reported
Source Code: Not reported
Form Code Description: Not reported
Form Code: Not reported
Waste Density Unit of Measure Description: Not reported Waste Density Unit of Measure Code: Not reported
Waste Density: Not reported
Waste Type Discrepancy Indicator: N
Quantity Discrepancy Indicator: N
Waste Residue Indicator: N
Management Method Description: LANDFILL (WITH PRIOR TREATMENT AND/OR STABILIZATION) Management Method Code: H132
Non-Acute Waste Quantity, in Kilorgrams: 761.9052
Acute Waste Quantity, in Kilograms: 0
Waste Quantity, in Kilograms: 761.9052
Non-Acute Waste Quantity, in Tons: 0.84
Acute Waste Quantity, in Tons: 0
Waste Quantity, in Tons: 0.84
Quantity Unit of Measure Description: Cubic Yards
Quantity Unit of Measure Code: Y
Waste Quantity: 1
Container Type Description: Burlap, cloth, paper, or plastic bags Container Type Code: BA
Number of Containers: 10
Non-Hazardous Waste Description: Not reported
U.S. DOT Description: Rq, Na2212, Asbestos, 9, Pg Iii
U.S. DOT ID Number: NA2212
JACK MCKEOWN (Continued) 1027211075
EPA Region: 09
Contact Title: Not reported
Contact Email: [email protected]
Contact Fax: Not reported
Contact Telephone: 925-699-5277
Contact City,State,Zip: PLEASANTON, CA 94566
Contact Address: 2654 GAPWALL CT
Contact Name: ED DE LA PENA
EPA ID: CAL000461481
Handler City,State,Zip: CUPERTINO, CA 95014
Handler Address: 19400 Stevens Creek Blvd #200
Handler Name: Hopyard Property Management
Date Form Received by Agency: 20210330
RCRA Listings:
772 ft. Site 1 of 4 in cluster J

0.146 mi.

Relative:

Lower
Actual:
194 ft.
1/8-1/4 CUPERTINO, CA 95014
East 19400 STEVENS CREEK BLVD #200 CAL000461481
J75 HOPYARD PROPERTY MANAGEMENT 1026826537 RCRA NonGen / NLR TC07984167.2r Page 271
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Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Sub-Part P Indicator: No
Manifest Broker: No
Recycler Activity Without Storage: No
Exporter of Spent Lead Acid Batteries: No
Importer of Spent Lead Acid Batteries: No
Recognized Trader-Exporter: No
Recognized Trader-Importer: No
Handler Date of Last Change: 20210415
Financial Assurance Required: Not reported
Significant Non-Complier With a Compliance Schedule Universe: No Addressed Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Significant Non-Complier Universe: No
Groundwater Controls Indicator: N/A
Human Exposure Controls Indicator: N/A
Institutional Control Indicator: No
Environmental Control Indicator: No
Corrective Action Priority Ranking: No NCAPS ranking
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Subject to Corrective Action Universe: No
202 GPRA Corrective Action Baseline: No
2018 GPRA Renewals Baseline: Not on the Baseline
2018 GPRA Permit Baseline: Not on the Baseline
Sub-Part K Indicator: Not reported
Hazardous Secondary Material Indicator: N
Federal Facility Indicator: Not reported
Active Site State-Reg Handler: ---
Federal Universal Waste: No
Universal Waste Destination Facility: No
Universal Waste Indicator: No
Off-Site Waste Receipt: No
Underground Injection Control: No
Smelting Melting and Refining Furnace Exemption: No
Small Quantity On-Site Burner Exemption: No
Recycler Activity with Storage: No
Transfer Facility Activity: No
Transporter Activity: No
Mixed Waste Generator: No
Importer Activity: No
Short-Term Generator Activity: No
Operator Type: Other
Operator Name: Ed De La Pena
Owner Type: Other
Owner Name: Ed De La Pena
Mailing City,State,Zip: CUPERTINO, CA 95014
Mailing Address: 19400 STEVENS CREEK BLVD #200
State District: Not reported
State District Owner: Not reported
Active Site Indicator: Not reported
Accessibility: Not reported
Biennial Report Cycle: Not reported
Non-Notifier: Not reported
Federal Waste Generator Description: Not a generator, verified Land Type: Not reported
HOPYARD PROPERTY MANAGEMENT (Continued) 1026826537
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Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Evaluations: No Evaluations Found
Evaluation Action Summary:

Violations: No Violations Found
Facility Has Received Notices of Violations:

Political Organizations)
NAICS Description: Other Similar Organizations (Except Business, Professional, Labor, And NAICS Code: 813990
List of NAICS Codes and Descriptions:

Electronic Manifest Broker: No
Non Storage Recycler Activity: No
Current Record: Yes
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Not a generator, verified Handler Name: HOPYARD PROPERTY MANAGEMENT
Receive Date: 20210330
Historic Generators:

Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 408-222-6436
Owner/Operator City,State,Zip: PLEASANTON, CA 94566
Owner/Operator Address: 2654 GAPWALL CT
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: ED DE LA PENA
Owner/Operator Indicator: Owner
Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 925-699-5277
Owner/Operator City,State,Zip: PLEASANTON, CA 94566
Owner/Operator Address: 2654 GAPWALL CT
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: ED DE LA PENA
Owner/Operator Indicator: Operator
Handler - Owner Operator:

HOPYARD PROPERTY MANAGEMENT (Continued) 1026826537
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Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Institutional Control Indicator: No
Environmental Control Indicator: No
Corrective Action Priority Ranking: No NCAPS ranking
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Subject to Corrective Action Universe: No
202 GPRA Corrective Action Baseline: No
2018 GPRA Renewals Baseline: Not on the Baseline
2018 GPRA Permit Baseline: Not on the Baseline
Sub-Part K Indicator: Not reported
Hazardous Secondary Material Indicator: N
Federal Facility Indicator: Not reported
Active Site State-Reg Handler: ---
Federal Universal Waste: No
Universal Waste Destination Facility: No
Universal Waste Indicator: No
Off-Site Waste Receipt: No
Underground Injection Control: No
Smelting Melting and Refining Furnace Exemption: No
Small Quantity On-Site Burner Exemption: No
Recycler Activity with Storage: No
Transfer Facility Activity: No
Transporter Activity: No
Mixed Waste Generator: No
Importer Activity: No
Short-Term Generator Activity: No
Operator Type: Other
Operator Name: Patha Murali
Owner Type: Other
Owner Name: Partha Murali
Mailing City,State,Zip: CUPERTINO, CA 95014
Mailing Address: 10277 EAST ESTATES DRIVE
State District: Not reported
State District Owner: Not reported
Active Site Indicator: Not reported
Accessibility: Not reported
Biennial Report Cycle: Not reported
Non-Notifier: Not reported
Federal Waste Generator Description: Not a generator, verified Land Type: Not reported
EPA Region: 09
Contact Title: Not reported
Contact Email: [email protected]
Contact Fax: Not reported
Contact Telephone: 408-386-9212
Contact City,State,Zip: CUPERTINO, CA 95014
Contact Address: 10277 EAST ESTATES DRIVE
Contact Name: PATHA MURALI
EPA ID: CAC003184879
Handler City,State,Zip: CUPERTINO, CA 95014
Handler Address: 10277 East Estates Drive
Handler Name: 10277 East Estates Drive
Date Form Received by Agency: 20220712
RCRA Listings:
838 ft.

0.159 mi.

Relative:

Higher
Actual:
210 ft.
1/8-1/4 CUPERTINO, CA 95014
South 10277 EAST ESTATES DRIVE E MANIFEST CAC003184879
76 PARTHA MURALI RCRA NonGen / NLR 1027447259
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Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Electronic Manifest Broker: No
Non Storage Recycler Activity: No
Current Record: Yes
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Not a generator, verified Handler Name: 10277 EAST ESTATES DRIVE
Receive Date: 20220712
Historic Generators:

Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 408-386-9212
Owner/Operator City,State,Zip: CUPERTINO, CA 95014
Owner/Operator Address: 10277 EAST ESTATES DRIVE
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: PATHA MURALI
Owner/Operator Indicator: Operator
Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 408-386-9212
Owner/Operator City,State,Zip: CUPERTINO, CA 95014
Owner/Operator Address: 10277 EAST ESTATES DRIVE
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: PARTHA MURALI
Owner/Operator Indicator: Owner
Handler - Owner Operator:

Sub-Part P Indicator: No
Manifest Broker: No
Recycler Activity Without Storage: No
Exporter of Spent Lead Acid Batteries: No
Importer of Spent Lead Acid Batteries: No
Recognized Trader-Exporter: No
Recognized Trader-Importer: No
Handler Date of Last Change: 20241212
Financial Assurance Required: Not reported
Significant Non-Complier With a Compliance Schedule Universe: No Addressed Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Significant Non-Complier Universe: No
Groundwater Controls Indicator: N/A
Human Exposure Controls Indicator: N/A
PARTHA MURALI (Continued) 1027447259
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Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Transporter Line Number: 1
Manifest Tracking Number: 014256182FLE
Transporter:

Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95366
Designated Facility Location City: MANTECA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: SOUTH AUSTIN ROAD Designated Facility Location Street Number: 9999
Designated Facility Mail State: CA
Designated Facility Mail Zip: 95336
Designated Facility Mail City: MANTECA
Designated Facility Mail Street 2: SOUTH AUSTIN ROAD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 9999
Designated Facility Name: Forward Landfill Inc Disposal Designated Facility EPA ID: CAL000190080
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 95014
Generator Mail City: CUPERTINO
Generator Mail Street 2: Not reported
Generator Mail Street 1: 10277 EAST ESTATES DRIVE
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10277 EAST ESTATES DRIVE
Generator Location Street Number: Not reported
Generator Name: Partha Murali
Generator EPA ID: CAC003184879
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20220820
Shipped Date: 20220809
Last Updated Date: 20220825
Manifest Tracking Number: 014256182FLE
E MANIFEST:

Evaluations: No Evaluations Found
Evaluation Action Summary:

Violations: No Violations Found
Facility Has Received Notices of Violations:

NAICS Description: All Other Waste Management Services
NAICS Code: 56299
List of NAICS Codes and Descriptions:

PARTHA MURALI (Continued) 1027447259
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Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
State Waste Codes: CA-151
Quantity Non Haz Tons: 0.84
Quantity Non Haz Kg: 761.9052
Quantity Haz Tons: 0
Quantity Haz Kg: 0
Federal Waste Codes: Not reported
EPA Waste Indicator: N
Consent Number: Not reported
Waste Minimization Code Description: Not reported
Waste Minimization Code: Not reported
Source Code Description: Not reported
Source Code: Not reported
Form Code Description: Not reported
Form Code: Not reported
Waste Density Unit of Measure Description: Not reported Waste Density Unit of Measure Code: Not reported
Waste Density: Not reported
Waste Type Discrepancy Indicator: N
Quantity Discrepancy Indicator: N
Waste Residue Indicator: N
Management Method Description: LANDFILL (WITH PRIOR TREATMENT AND/OR STABILIZATION) Management Method Code: H132
Non-Acute Waste Quantity, in Kilorgrams: 761.9052
Acute Waste Quantity, in Kilograms: 0
Waste Quantity, in Kilograms: 761.9052
Non-Acute Waste Quantity, in Tons: 0.84
Acute Waste Quantity, in Tons: 0
Waste Quantity, in Tons: 0.84
Quantity Unit of Measure Description: Cubic Yards
Quantity Unit of Measure Code: Y
Waste Quantity: 1
Container Type Description: Burlap, cloth, paper, or plastic bags Container Type Code: BA
Number of Containers: 8
Non-Hazardous Waste Description: Not reported
U.S. DOT Description: Rq, Na2212, Asbestos, 9, Pgiii
U.S. DOT ID Number: NA2212
U.S. DOT Hazardous Indicator: Y
Waste Line Number: 1
Manifest Tracking Number: 014256182FLE
Waste Line:

Transporter Name: E C T I
Transporter EPA ID: CAR000049064
Transporter Line Number: 2
Manifest Tracking Number: 014256182FLE
Transporter Name: Reliance Construction
Transporter EPA ID: CAR000335026
PARTHA MURALI (Continued) 1027447259
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Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Institutional Control Indicator: No
Environmental Control Indicator: No
Corrective Action Priority Ranking: No NCAPS ranking
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Subject to Corrective Action Universe: No
202 GPRA Corrective Action Baseline: No
2018 GPRA Renewals Baseline: Not on the Baseline
2018 GPRA Permit Baseline: Not on the Baseline
Sub-Part K Indicator: Not reported
Hazardous Secondary Material Indicator: N
Federal Facility Indicator: Not reported
Active Site State-Reg Handler: ---
Federal Universal Waste: No
Universal Waste Destination Facility: Yes
Universal Waste Indicator: Yes
Off-Site Waste Receipt: No
Underground Injection Control: No
Smelting Melting and Refining Furnace Exemption: No
Small Quantity On-Site Burner Exemption: No
Recycler Activity with Storage: No
Transfer Facility Activity: No
Transporter Activity: No
Mixed Waste Generator: No
Importer Activity: No
Short-Term Generator Activity: No
Operator Type: Other
Operator Name: Edward & Lynn Puccinelli
Owner Type: Other
Owner Name: Edward & Lynn Puccinelli
Mailing City,State,Zip: CUPERTINO, CA 95014
Mailing Address: 10128 DENISON AVENUE
State District: Not reported
State District Owner: Not reported
Active Site Indicator: Handler Activities
Accessibility: Not reported
Biennial Report Cycle: Not reported
Non-Notifier: Not reported
Federal Waste Generator Description: Not a generator, verified Land Type: Not reported
EPA Region: 09
Contact Title: Not reported
Contact Email: [email protected]
Contact Fax: Not reported
Contact Telephone: 408-257-3406
Contact City,State,Zip: CUPERTINO, CA 95014
Contact Address: 10128 DENISON AVENUE
Contact Name: EDWARD & LYNN PUCCINELLI
EPA ID: CAC003016706
Handler City,State,Zip: CUPERTINO, CA 95014
Handler Address: 10128 Denison Avenue
Handler Name: Edward & Lynn Puccinelli
Date Form Received by Agency: 20190524
RCRA Listings:
838 ft. Site 2 of 2 in cluster I

0.159 mi.

Relative:

Lower
Actual:
195 ft.
1/8-1/4 CUPERTINO, CA 95014
NNW 10128 DENISON AVENUE E MANIFEST CAC003016706
I77 EDWARD & LYNN PUCCINELLI RCRA NonGen / NLR 1025837116 TC07984167.2r Page 278
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Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Electronic Manifest Broker: Not reported
Non Storage Recycler Activity: Not reported
Current Record: Yes
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Not a generator, verified Handler Name: EDWARD & LYNN PUCCINELLI
Receive Date: 20190524
Historic Generators:

Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 408-257-3406
Owner/Operator City,State,Zip: CUPERTINO, CA 95014
Owner/Operator Address: 10128 DENISON AVENUE
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: EDWARD & LYNN PUCCINELLI
Owner/Operator Indicator: Operator
Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 408-257-3406
Owner/Operator City,State,Zip: CUPERTINO, CA 95014
Owner/Operator Address: 10128 DENISON AVENUE
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: EDWARD & LYNN PUCCINELLI
Owner/Operator Indicator: Owner
Handler - Owner Operator:

Sub-Part P Indicator: No
Manifest Broker: No
Recycler Activity Without Storage: No
Exporter of Spent Lead Acid Batteries: No
Importer of Spent Lead Acid Batteries: No
Recognized Trader-Exporter: No
Recognized Trader-Importer: No
Handler Date of Last Change: 20190627
Financial Assurance Required: Not reported
Significant Non-Complier With a Compliance Schedule Universe: No Addressed Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Significant Non-Complier Universe: No
Groundwater Controls Indicator: N/A
Human Exposure Controls Indicator: N/A
EDWARD & LYNN PUCCINELLI (Continued) 1025837116
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Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Transporter Line Number: 1
Manifest Tracking Number: 000216899DAT
Transporter:

Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Recology Hay Road Designated Facility Location State: CA
Designated Facility Location Zip: 95687-0000
Designated Facility Location City: VACAVILLE
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: 6426 HAY RD
Designated Facility Location Street Number: Not reported Designated Facility Mail State: CA
Designated Facility Mail Zip: 95620
Designated Facility Mail City: DIXON
Designated Facility Mail Street 2: 235 N FIRST ST
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: Not reported
Designated Facility Name: Not reported
Designated Facility EPA ID: CAD982042475
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 95014
Generator Mail City: CUPERTINO
Generator Mail Street 2: Not reported
Generator Mail Street 1: 10128 DENISON AVENUE
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10128 DENISON AVENUE
Generator Location Street Number: Not reported
Generator Name: Edward & Lynn Puccinelli
Generator EPA ID: CAC003016706
Origin Type: Mail
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20190610
Shipped Date: 20190601
Last Updated Date: 20190821
Manifest Tracking Number: 000216899DAT
E MANIFEST:

Evaluations: No Evaluations Found
Evaluation Action Summary:

Violations: No Violations Found
Facility Has Received Notices of Violations:

NAICS Description: All Other Waste Management Services
NAICS Code: 56299
List of NAICS Codes and Descriptions:

EDWARD & LYNN PUCCINELLI (Continued) 1025837116
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Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
State Waste Codes: CA-151
Quantity Non Haz Tons: 0.84
Quantity Non Haz Kg: 761.9052
Quantity Haz Tons: 0
Quantity Haz Kg: 0
Federal Waste Codes: Not reported
EPA Waste Indicator: N
Consent Number: Not reported
Waste Minimization Code Description: Not reported
Waste Minimization Code: Not reported
Source Code Description: Not reported
Source Code: Not reported
Form Code Description: Not reported
Form Code: Not reported
Waste Density Unit of Measure Description: Not reported Waste Density Unit of Measure Code: Not reported
Waste Density: Not reported
Waste Type Discrepancy Indicator: N
Quantity Discrepancy Indicator: N
Waste Residue Indicator: N
Management Method Description: LANDFILL (WITH PRIOR TREATMENT AND/OR STABILIZATION) Management Method Code: H132
Non-Acute Waste Quantity, in Kilorgrams: 761.9052
Acute Waste Quantity, in Kilograms: 0
Waste Quantity, in Kilograms: 761.9052
Non-Acute Waste Quantity, in Tons: 0.84
Acute Waste Quantity, in Tons: 0
Waste Quantity, in Tons: 0.84
Quantity Unit of Measure Description: Cubic Yards
Quantity Unit of Measure Code: Y
Waste Quantity: 1
Container Type Description: Burlap, cloth, paper, or plastic bags Container Type Code: BA
Number of Containers: 3
Non-Hazardous Waste Description: Not reported
U.S. DOT Description: R.Q. Na2212, Asbestos, 9, Pg Iii
U.S. DOT ID Number: NA2212
U.S. DOT Hazardous Indicator: Y
Waste Line Number: 1
Manifest Tracking Number: 000216899DAT
Waste Line:

Transporter Name: Uni Waste Llc
Transporter EPA ID: CAR000272773
Transporter Line Number: 2
Manifest Tracking Number: 000216899DAT
Transporter Name: Environmental Remedies Inc
Transporter EPA ID: CAL000371038
EDWARD & LYNN PUCCINELLI (Continued) 1025837116
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Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Institutional Control Indicator: No
Environmental Control Indicator: No
Corrective Action Priority Ranking: No NCAPS ranking
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Subject to Corrective Action Universe: No
202 GPRA Corrective Action Baseline: No
2018 GPRA Renewals Baseline: Not on the Baseline
2018 GPRA Permit Baseline: Not on the Baseline
Sub-Part K Indicator: Not reported
Hazardous Secondary Material Indicator: N
Federal Facility Indicator: Not reported
Active Site State-Reg Handler: ---
Federal Universal Waste: No
Universal Waste Destination Facility: Yes
Universal Waste Indicator: Yes
Off-Site Waste Receipt: No
Underground Injection Control: No
Smelting Melting and Refining Furnace Exemption: No
Small Quantity On-Site Burner Exemption: No
Recycler Activity with Storage: No
Transfer Facility Activity: No
Transporter Activity: No
Mixed Waste Generator: No
Importer Activity: No
Short-Term Generator Activity: No
Operator Type: Other
Operator Name: Ca7-701-01-28 Scott
Owner Type: Other
Owner Name: Ca7-701-01-28 Scott
Mailing City,State,Zip: BREA, CA 92823
Mailing Address: 275 SOUTH VALENCIA AVENUE
State District: Not reported
State District Owner: Not reported
Active Site Indicator: Handler Activities
Accessibility: Not reported
Biennial Report Cycle: Not reported
Non-Notifier: Not reported
Federal Waste Generator Description: Not a generator, verified Land Type: Not reported
EPA Region: 09
Contact Title: Not reported
Contact Email: [email protected]
Contact Fax: Not reported
Contact Telephone: 714-577-0865
Contact City,State,Zip: BREA, CA 92823
Contact Address: 275 SOUTH VALENCIA AVENUE
Contact Name: CA7-701-01-28 SCOTT
EPA ID: CAC002996164
Handler City,State,Zip: CUPERTINO, CA 95014
Handler Address: 19376 Stevens Creek Blvd.

Handler Name: Bank Of America
Date Form Received by Agency: 20190111
RCRA Listings:
930 ft. Site 2 of 4 in cluster J

0.176 mi.

Relative:

Lower
Actual:
192 ft.
1/8-1/4 CUPERTINO, CA 95014
East 19376 STEVENS CREEK BLVD. E MANIFEST CAC002996164
J78 BANK OF AMERICA RCRA NonGen / NLR 1024776229
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Elevation Site Database(s) EPA ID Number
Electronic Manifest Broker: Not reported
Non Storage Recycler Activity: Not reported
Current Record: Yes
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Not a generator, verified Handler Name: BANK OF AMERICA
Receive Date: 20190111
Historic Generators:

Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 714-577-0865
Owner/Operator City,State,Zip: BREA, CA 92823
Owner/Operator Address: 275 SOUTH VALENCIA AVENUE
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: CA7-701-01-28 SCOTT
Owner/Operator Indicator: Owner
Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 714-577-0865
Owner/Operator City,State,Zip: BREA, CA 92823
Owner/Operator Address: 275 SOUTH VALENCIA AVENUE
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: CA7-701-01-28 SCOTT
Owner/Operator Indicator: Operator
Handler - Owner Operator:

Sub-Part P Indicator: No
Manifest Broker: No
Recycler Activity Without Storage: No
Exporter of Spent Lead Acid Batteries: No
Importer of Spent Lead Acid Batteries: No
Recognized Trader-Exporter: No
Recognized Trader-Importer: No
Handler Date of Last Change: 20190222
Financial Assurance Required: Not reported
Significant Non-Complier With a Compliance Schedule Universe: No Addressed Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Significant Non-Complier Universe: No
Groundwater Controls Indicator: N/A
Human Exposure Controls Indicator: N/A
BANK OF AMERICA (Continued) 1024776229
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Elevation Site Database(s) EPA ID Number
Shipped Date: 20181008
Last Updated Date: 20190405
Manifest Tracking Number: 015583947JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 94551
Designated Facility Location City: LIVERMORE
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: 10840 ALTAMONT PASS RD Designated Facility Location Street Number: 10840
Designated Facility Mail State: CA
Designated Facility Mail Zip: 94551
Designated Facility Mail City: LIVERMORE
Designated Facility Mail Street 2: 10840 ALTAMONT PASS RD Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 10840
Designated Facility Name: Altamont Landfill & Resource Recovery Facility Designated Facility EPA ID: CAD981382732
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 92823
Generator Mail City: Brea
Generator Mail Street 2: Not reported
Generator Mail Street 1: 275 South Valencia Ave.

Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 19376 STEVENS CREEK BLVD
Generator Location Street Number: Not reported
Generator Name: Bank Of America
Generator EPA ID: CAC002983657
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20181009
Shipped Date: 20181009
Last Updated Date: 20181107
Manifest Tracking Number: 015583946JJK
E MANIFEST:

Evaluations: No Evaluations Found
Evaluation Action Summary:

Violations: No Violations Found
Facility Has Received Notices of Violations:

NAICS Description: All Other Waste Management Services
NAICS Code: 56299
List of NAICS Codes and Descriptions:

BANK OF AMERICA (Continued) 1024776229
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Generator Mail Zip: 92823
Generator Mail City: BREA
Generator Mail Street 2: Not reported
Generator Mail Street 1: 275 SOUTH VALENCIA AVENUE
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 19376 STEVENS CREEK BLVD.

Generator Location Street Number: Not reported
Generator Name: Bank Of America
Generator EPA ID: CAC002996164
Origin Type: Mail
Submission Type: DataImage5Copy
Manifest Status: Corrected
Received Date: 20190314
Shipped Date: 20190312
Last Updated Date: 20250110
Manifest Tracking Number: 019645052JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95688
Designated Facility Location City: VACAVILLE
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: 6426 HAY RD
Designated Facility Location Street Number: Not reported Designated Facility Mail State: CA
Designated Facility Mail Zip: 95688
Designated Facility Mail City: VACAVILLE
Designated Facility Mail Street 2: 831 DAVIS ST
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: Not reported
Designated Facility Name: B & J Landfill
Designated Facility EPA ID: CAD982042475
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 92823
Generator Mail City: BREA
Generator Mail Street 2: CA7-701-01-28
Generator Mail Street 1: 275 SOUTH VALENCIA AVENUE
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 19376 STEVENS CREEK BLVD.

Generator Location Street Number: Not reported
Generator Name: Bank Of America
Generator EPA ID: CAC002983657
Origin Type: Mail
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20181017
BANK OF AMERICA (Continued) 1024776229
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Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95688
Designated Facility Location City: VACAVILLE
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: 6426 HAY RD
Designated Facility Location Street Number: Not reported Designated Facility Mail State: CA
Designated Facility Mail Zip: 95688
Designated Facility Mail City: VACAVILLE
Designated Facility Mail Street 2: 831 DAVIS ST
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: Not reported
Designated Facility Name: B & J Landfill
Designated Facility EPA ID: CAD982042475
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 92823-6340
Generator Mail City: BREA
Generator Mail Street 2: CA7-701-01-28
Generator Mail Street 1: 275 SOUTH VALENCIA AVENUE
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 19376 STEVENS CREEK BLVD.

Generator Location Street Number: Not reported
Generator Name: Bank Of America
Generator EPA ID: CAC002983657
Origin Type: Mail
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20181226
Shipped Date: 20181215
Last Updated Date: 20190314
Manifest Tracking Number: 019646237JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95687-0000
Designated Facility Location City: VACAVILLE
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: 6426 HAY RD
Designated Facility Location Street Number: Not reported Designated Facility Mail State: CA
Designated Facility Mail Zip: 95620
Designated Facility Mail City: DIXON
Designated Facility Mail Street 2: 235 N FIRST ST
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: Not reported
Designated Facility Name: Recology Hay Road
Designated Facility EPA ID: CAD982042475
Generator Contact Company Name: Not reported
Generator Mail State: CA
BANK OF AMERICA (Continued) 1024776229
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Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 19376 STEVENS CREEK BLVD.

Generator Location Street Number: Not reported
Generator Name: Bank Of America
Generator EPA ID: CAC002983657
Origin Type: Mail
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20190124
Shipped Date: 20190119
Last Updated Date: 20190705
Manifest Tracking Number: 019646335JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95687-0000
Designated Facility Location City: VACAVILLE
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: 6426 HAY RD
Designated Facility Location Street Number: Not reported Designated Facility Mail State: CA
Designated Facility Mail Zip: 95620
Designated Facility Mail City: DIXON
Designated Facility Mail Street 2: 235 N FIRST ST
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: Not reported
Designated Facility Name: Recology Hay Road
Designated Facility EPA ID: CAD982042475
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 92823
Generator Mail City: BREA
Generator Mail Street 2: Not reported
Generator Mail Street 1: 275 SOUTH VALENCIA AVENUE
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 19376 STEVENS CREEK BLVD.

Generator Location Street Number: Not reported
Generator Name: Bank Of America
Generator EPA ID: CAC002996164
Origin Type: Mail
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20190124
Shipped Date: 20190114
Last Updated Date: 20190708
Manifest Tracking Number: 019646305JJK
Rejection Indicator: N
Manifest Residue Indicator: N
BANK OF AMERICA (Continued) 1024776229
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Designated Facility Location Street Number: Not reported Designated Facility Mail State: NV
Designated Facility Mail Zip: 89003
Designated Facility Mail City: BEATTY
Designated Facility Mail Street 2: HWY 95 11 MILES S. OF BEATTY Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: Not reported
Designated Facility Name: Us Ecology Nevada, Inc.

Designated Facility EPA ID: NVT330010000
Generator Contact Company Name: Not reported
Generator Mail State: CO
Generator Mail Zip: 92823
Generator Mail City: BREA
Generator Mail Street 2: Not reported
Generator Mail Street 1: 275 S VALENCIA AVE
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 19376 STEVENS CREEK BLVD
Generator Location Street Number: Not reported
Generator Name: Bank Of America
Generator EPA ID: Not reported
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Corrected
Received Date: 20190207
Shipped Date: 20190119
Last Updated Date: 20210520
Manifest Tracking Number: 019646344JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95687-0000
Designated Facility Location City: VACAVILLE
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: 6426 HAY RD
Designated Facility Location Street Number: Not reported Designated Facility Mail State: CA
Designated Facility Mail Zip: 95620
Designated Facility Mail City: DIXON
Designated Facility Mail Street 2: 235 N FIRST ST
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: Not reported
Designated Facility Name: Recology Hay Road
Designated Facility EPA ID: CAD982042475
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 92823
Generator Mail City: BREA
Generator Mail Street 2: Not reported
Generator Mail Street 1: 275 SOUTH VALENCIA AVENUE
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
BANK OF AMERICA (Continued) 1024776229
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Elevation Site Database(s) EPA ID Number
Source Code Description: Not reported
Source Code: Not reported
Form Code Description: Not reported
Form Code: Not reported
Waste Density Unit of Measure Description: Not reported Waste Density Unit of Measure Code: Not reported
Waste Density: Not reported
Waste Type Discrepancy Indicator: N
Quantity Discrepancy Indicator: N
Waste Residue Indicator: N
Management Method Description: OTHER RECOVERY OR RECLAMATION FOR REUSE Management Method Code: H039
Non-Acute Waste Quantity, in Kilorgrams: 136.0545
Acute Waste Quantity, in Kilograms: 0
Waste Quantity, in Kilograms: 136.0545
Non-Acute Waste Quantity, in Tons: 0.15
Acute Waste Quantity, in Tons: 0
Waste Quantity, in Tons: 0.15
Quantity Unit of Measure Description: Pounds
Quantity Unit of Measure Code: P
Waste Quantity: 300
Container Type Description: Metal drums, barrels, kegs
Container Type Code: DM
Number of Containers: 1
Non-Hazardous Waste Description: Not reported
U.S. DOT Description: Na2212, Asbestos, 9, Iii, 9, Pg Iii U.S. DOT ID Number: NA2212
U.S. DOT Hazardous Indicator: Y
Waste Line Number: 1
Manifest Tracking Number: 019646344JJK
Waste Line:

Transporter Name: North State Environmertal
Transporter EPA ID: CAR000206086
Transporter Line Number: 3
Manifest Tracking Number: 019646344JJK
Transporter Name: E.C.T.I.

Transporter EPA ID: CAR000049064
Transporter Line Number: 2
Manifest Tracking Number: 019646344JJK
Transporter Name: Alliance Environmental Group
Transporter EPA ID: CAL000160111
Transporter Line Number: 1
Manifest Tracking Number: 019646344JJK
Transporter:

Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: NV
Designated Facility Location Zip: 89003
Designated Facility Location City: BEATTY
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: HWY 95 11 MILES S. OF BEATTY BANK OF AMERICA (Continued) 1024776229
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State Waste Codes: CA-151, CA-343, CA-352
Quantity Non Haz Tons: 0.15
Quantity Non Haz Kg: 136.0545
Quantity Haz Tons: 0
Quantity Haz Kg: 0
Federal Waste Codes: Not reported
EPA Waste Indicator: N
Consent Number: Not reported
Waste Minimization Code Description: Not reported
Waste Minimization Code: Not reported
BANK OF AMERICA (Continued) 1024776229
Federal Universal Waste: No
Universal Waste Destination Facility: Yes
Universal Waste Indicator: Yes
Off-Site Waste Receipt: No
Underground Injection Control: No
Smelting Melting and Refining Furnace Exemption: No
Small Quantity On-Site Burner Exemption: No
Recycler Activity with Storage: No
Transfer Facility Activity: No
Transporter Activity: No
Mixed Waste Generator: No
Importer Activity: No
Short-Term Generator Activity: No
Operator Type: Other
Operator Name: Ca7-701-01-28 Bonjour
Owner Type: Other
Owner Name: Ca7-701-01-28 Bonjour
Mailing City,State,Zip: BREA, CA 92823
Mailing Address: 275 SOUTH VALENCIA AVENUE
State District: Not reported
State District Owner: Not reported
Active Site Indicator: Handler Activities
Accessibility: Not reported
Biennial Report Cycle: Not reported
Non-Notifier: Not reported
Federal Waste Generator Description: Not a generator, verified Land Type: Not reported
EPA Region: 09
Contact Title: Not reported
Contact Email: [email protected]
Contact Fax: Not reported
Contact Telephone: 714-577-0865
Contact City,State,Zip: BREA, CA 92823
Contact Address: 275 SOUTH VALENCIA AVENUE
Contact Name: CA7-701-01-28 BONJOUR
EPA ID: CAC002983657
Handler City,State,Zip: CUPERTINO, CA 95014
Handler Address: 19376 Stevens Creek Blvd.

Handler Name: Bank Of America
Date Form Received by Agency: 20181005
RCRA Listings:
930 ft. Site 3 of 4 in cluster J

0.176 mi.

Relative:

Lower
Actual:
192 ft.
1/8-1/4 CUPERTINO, CA 95014
East 19376 STEVENS CREEK BLVD. E MANIFEST CAC002983657
J79 BANK OF AMERICA RCRA NonGen / NLR 1024763791
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Elevation Site Database(s) EPA ID Number
Receive Date: 20181005
Historic Generators:

Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 714-577-0865
Owner/Operator City,State,Zip: BREA, CA 92823
Owner/Operator Address: 275 SOUTH VALENCIA AVENUE
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: CA7-701-01-28 BONJOUR
Owner/Operator Indicator: Owner
Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 714-577-0865
Owner/Operator City,State,Zip: BREA, CA 92823
Owner/Operator Address: 275 SOUTH VALENCIA AVENUE
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: CA7-701-01-28 BONJOUR
Owner/Operator Indicator: Operator
Handler - Owner Operator:

Sub-Part P Indicator: No
Manifest Broker: No
Recycler Activity Without Storage: No
Exporter of Spent Lead Acid Batteries: No
Importer of Spent Lead Acid Batteries: No
Recognized Trader-Exporter: No
Recognized Trader-Importer: No
Handler Date of Last Change: 20181120
Financial Assurance Required: Not reported
Significant Non-Complier With a Compliance Schedule Universe: No Addressed Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Significant Non-Complier Universe: No
Groundwater Controls Indicator: N/A
Human Exposure Controls Indicator: N/A
Institutional Control Indicator: No
Environmental Control Indicator: No
Corrective Action Priority Ranking: No NCAPS ranking
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Subject to Corrective Action Universe: No
202 GPRA Corrective Action Baseline: No
2018 GPRA Renewals Baseline: Not on the Baseline
2018 GPRA Permit Baseline: Not on the Baseline
Sub-Part K Indicator: Not reported
Hazardous Secondary Material Indicator: N
Federal Facility Indicator: Not reported
Active Site State-Reg Handler: ---
BANK OF AMERICA (Continued) 1024763791
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Designated Facility Location Street Number: 10840
Designated Facility Mail State: CA
Designated Facility Mail Zip: 94551
Designated Facility Mail City: LIVERMORE
Designated Facility Mail Street 2: 10840 ALTAMONT PASS RD Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 10840
Designated Facility Name: Altamont Landfill & Resource Recovery Facility Designated Facility EPA ID: CAD981382732
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 92823
Generator Mail City: Brea
Generator Mail Street 2: Not reported
Generator Mail Street 1: 275 South Valencia Ave.

Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 19376 STEVENS CREEK BLVD
Generator Location Street Number: Not reported
Generator Name: Bank Of America
Generator EPA ID: CAC002983657
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20181009
Shipped Date: 20181009
Last Updated Date: 20181107
Manifest Tracking Number: 015583946JJK
E MANIFEST:

Evaluations: No Evaluations Found
Evaluation Action Summary:

Violations: No Violations Found
Facility Has Received Notices of Violations:

NAICS Description: All Other Waste Management Services
NAICS Code: 56299
List of NAICS Codes and Descriptions:

Electronic Manifest Broker: Not reported
Non Storage Recycler Activity: Not reported
Current Record: Yes
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Not a generator, verified Handler Name: BANK OF AMERICA
BANK OF AMERICA (Continued) 1024763791
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Elevation Site Database(s) EPA ID Number
Generator EPA ID: CAC002996164
Origin Type: Mail
Submission Type: DataImage5Copy
Manifest Status: Corrected
Received Date: 20190314
Shipped Date: 20190312
Last Updated Date: 20250110
Manifest Tracking Number: 019645052JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95688
Designated Facility Location City: VACAVILLE
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: 6426 HAY RD
Designated Facility Location Street Number: Not reported Designated Facility Mail State: CA
Designated Facility Mail Zip: 95688
Designated Facility Mail City: VACAVILLE
Designated Facility Mail Street 2: 831 DAVIS ST
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: Not reported
Designated Facility Name: B & J Landfill
Designated Facility EPA ID: CAD982042475
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 92823
Generator Mail City: BREA
Generator Mail Street 2: CA7-701-01-28
Generator Mail Street 1: 275 SOUTH VALENCIA AVENUE
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 19376 STEVENS CREEK BLVD.

Generator Location Street Number: Not reported
Generator Name: Bank Of America
Generator EPA ID: CAC002983657
Origin Type: Mail
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20181017
Shipped Date: 20181008
Last Updated Date: 20190405
Manifest Tracking Number: 015583947JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 94551
Designated Facility Location City: LIVERMORE
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: 10840 ALTAMONT PASS RD BANK OF AMERICA (Continued) 1024763791
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Elevation Site Database(s) EPA ID Number
Designated Facility Mail Street Number: Not reported
Designated Facility Name: B & J Landfill
Designated Facility EPA ID: CAD982042475
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 92823-6340
Generator Mail City: BREA
Generator Mail Street 2: CA7-701-01-28
Generator Mail Street 1: 275 SOUTH VALENCIA AVENUE
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 19376 STEVENS CREEK BLVD.

Generator Location Street Number: Not reported
Generator Name: Bank Of America
Generator EPA ID: CAC002983657
Origin Type: Mail
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20181226
Shipped Date: 20181215
Last Updated Date: 20190314
Manifest Tracking Number: 019646237JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95687-0000
Designated Facility Location City: VACAVILLE
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: 6426 HAY RD
Designated Facility Location Street Number: Not reported Designated Facility Mail State: CA
Designated Facility Mail Zip: 95620
Designated Facility Mail City: DIXON
Designated Facility Mail Street 2: 235 N FIRST ST
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: Not reported
Designated Facility Name: Recology Hay Road
Designated Facility EPA ID: CAD982042475
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 92823
Generator Mail City: BREA
Generator Mail Street 2: Not reported
Generator Mail Street 1: 275 SOUTH VALENCIA AVENUE
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 19376 STEVENS CREEK BLVD.

Generator Location Street Number: Not reported
Generator Name: Bank Of America
BANK OF AMERICA (Continued) 1024763791
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Elevation Site Database(s) EPA ID Number
Last Updated Date: 20190705
Manifest Tracking Number: 019646335JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95687-0000
Designated Facility Location City: VACAVILLE
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: 6426 HAY RD
Designated Facility Location Street Number: Not reported Designated Facility Mail State: CA
Designated Facility Mail Zip: 95620
Designated Facility Mail City: DIXON
Designated Facility Mail Street 2: 235 N FIRST ST
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: Not reported
Designated Facility Name: Recology Hay Road
Designated Facility EPA ID: CAD982042475
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 92823
Generator Mail City: BREA
Generator Mail Street 2: Not reported
Generator Mail Street 1: 275 SOUTH VALENCIA AVENUE
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 19376 STEVENS CREEK BLVD.

Generator Location Street Number: Not reported
Generator Name: Bank Of America
Generator EPA ID: CAC002996164
Origin Type: Mail
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20190124
Shipped Date: 20190114
Last Updated Date: 20190708
Manifest Tracking Number: 019646305JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95688
Designated Facility Location City: VACAVILLE
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: 6426 HAY RD
Designated Facility Location Street Number: Not reported Designated Facility Mail State: CA
Designated Facility Mail Zip: 95688
Designated Facility Mail City: VACAVILLE
Designated Facility Mail Street 2: 831 DAVIS ST
Designated Facility Mail Street 1: Not reported
BANK OF AMERICA (Continued) 1024763791
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Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Generator Mail City: BREA
Generator Mail Street 2: Not reported
Generator Mail Street 1: 275 S VALENCIA AVE
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 19376 STEVENS CREEK BLVD
Generator Location Street Number: Not reported
Generator Name: Bank Of America
Generator EPA ID: Not reported
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Corrected
Received Date: 20190207
Shipped Date: 20190119
Last Updated Date: 20210520
Manifest Tracking Number: 019646344JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95687-0000
Designated Facility Location City: VACAVILLE
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: 6426 HAY RD
Designated Facility Location Street Number: Not reported Designated Facility Mail State: CA
Designated Facility Mail Zip: 95620
Designated Facility Mail City: DIXON
Designated Facility Mail Street 2: 235 N FIRST ST
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: Not reported
Designated Facility Name: Recology Hay Road
Designated Facility EPA ID: CAD982042475
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 92823
Generator Mail City: BREA
Generator Mail Street 2: Not reported
Generator Mail Street 1: 275 SOUTH VALENCIA AVENUE
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 19376 STEVENS CREEK BLVD.

Generator Location Street Number: Not reported
Generator Name: Bank Of America
Generator EPA ID: CAC002983657
Origin Type: Mail
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20190124
Shipped Date: 20190119
BANK OF AMERICA (Continued) 1024763791
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Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Non-Acute Waste Quantity, in Kilorgrams: 136.0545
Acute Waste Quantity, in Kilograms: 0
Waste Quantity, in Kilograms: 136.0545
Non-Acute Waste Quantity, in Tons: 0.15
Acute Waste Quantity, in Tons: 0
Waste Quantity, in Tons: 0.15
Quantity Unit of Measure Description: Pounds
Quantity Unit of Measure Code: P
Waste Quantity: 300
Container Type Description: Metal drums, barrels, kegs
Container Type Code: DM
Number of Containers: 1
Non-Hazardous Waste Description: Not reported
U.S. DOT Description: Na2212, Asbestos, 9, Iii, 9, Pg Iii U.S. DOT ID Number: NA2212
U.S. DOT Hazardous Indicator: Y
Waste Line Number: 1
Manifest Tracking Number: 019646344JJK
Waste Line:

Transporter Name: North State Environmertal
Transporter EPA ID: CAR000206086
Transporter Line Number: 3
Manifest Tracking Number: 019646344JJK
Transporter Name: E.C.T.I.

Transporter EPA ID: CAR000049064
Transporter Line Number: 2
Manifest Tracking Number: 019646344JJK
Transporter Name: Alliance Environmental Group
Transporter EPA ID: CAL000160111
Transporter Line Number: 1
Manifest Tracking Number: 019646344JJK
Transporter:

Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: NV
Designated Facility Location Zip: 89003
Designated Facility Location City: BEATTY
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: HWY 95 11 MILES S. OF BEATTY Designated Facility Location Street Number: Not reported Designated Facility Mail State: NV
Designated Facility Mail Zip: 89003
Designated Facility Mail City: BEATTY
Designated Facility Mail Street 2: HWY 95 11 MILES S. OF BEATTY Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: Not reported
Designated Facility Name: Us Ecology Nevada, Inc.

Designated Facility EPA ID: NVT330010000
Generator Contact Company Name: Not reported
Generator Mail State: CO
Generator Mail Zip: 92823
BANK OF AMERICA (Continued) 1024763791
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Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
State Waste Codes: CA-151, CA-343, CA-352
Quantity Non Haz Tons: 0.15
Quantity Non Haz Kg: 136.0545
Quantity Haz Tons: 0
Quantity Haz Kg: 0
Federal Waste Codes: Not reported
EPA Waste Indicator: N
Consent Number: Not reported
Waste Minimization Code Description: Not reported
Waste Minimization Code: Not reported
Source Code Description: Not reported
Source Code: Not reported
Form Code Description: Not reported
Form Code: Not reported
Waste Density Unit of Measure Description: Not reported Waste Density Unit of Measure Code: Not reported
Waste Density: Not reported
Waste Type Discrepancy Indicator: N
Quantity Discrepancy Indicator: N
Waste Residue Indicator: N
Management Method Description: OTHER RECOVERY OR RECLAMATION FOR REUSE Management Method Code: H039
BANK OF AMERICA (Continued) 1024763791
Short-Term Generator Activity: No
Operator Type: Other
Operator Name: Ca7-701-01-28 Zhong
Owner Type: Other
Owner Name: Ca7-701-01-28 Zhong
Mailing City,State,Zip: BREA, CA 92823
Mailing Address: 275 SOUTH VALENCIA AVENUE
State District: Not reported
State District Owner: Not reported
Active Site Indicator: Handler Activities
Accessibility: Not reported
Biennial Report Cycle: Not reported
Non-Notifier: Not reported
Federal Waste Generator Description: Not a generator, verified Land Type: Not reported
EPA Region: 09
Contact Title: Not reported
Contact Email: [email protected]
Contact Fax: Not reported
Contact Telephone: 714-577-0865
Contact City,State,Zip: BREA, CA 92823
Contact Address: 275 SOUTH VALENCIA AVENUE
Contact Name: CA7-701-01-28 ZHONG
EPA ID: CAC002997592
Handler City,State,Zip: CUPERTINO, CA 95014
Handler Address: 19376 Stevens Creek Blvd.

Handler Name: Ca7-701-01-28
Date Form Received by Agency: 20190122
RCRA Listings:
930 ft. Site 4 of 4 in cluster J

0.176 mi.

Relative:

Lower
Actual:
192 ft.
1/8-1/4 CUPERTINO, CA 95014
East 19376 STEVENS CREEK BLVD. CAC002997592
J80 CA7-701-01-28 RCRA NonGen / NLR 1024777649
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Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Legal Status: Other
Owner/Operator Name: CA7-701-01-28 ZHONG
Owner/Operator Indicator: Operator
Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 714-577-0865
Owner/Operator City,State,Zip: BREA, CA 92823
Owner/Operator Address: 275 SOUTH VALENCIA AVENUE
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: CA7-701-01-28 ZHONG
Owner/Operator Indicator: Owner
Handler - Owner Operator:

Sub-Part P Indicator: No
Manifest Broker: No
Recycler Activity Without Storage: No
Exporter of Spent Lead Acid Batteries: No
Importer of Spent Lead Acid Batteries: No
Recognized Trader-Exporter: No
Recognized Trader-Importer: No
Handler Date of Last Change: 20190222
Financial Assurance Required: Not reported
Significant Non-Complier With a Compliance Schedule Universe: No Addressed Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Significant Non-Complier Universe: No
Groundwater Controls Indicator: N/A
Human Exposure Controls Indicator: N/A
Institutional Control Indicator: No
Environmental Control Indicator: No
Corrective Action Priority Ranking: No NCAPS ranking
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Subject to Corrective Action Universe: No
202 GPRA Corrective Action Baseline: No
2018 GPRA Renewals Baseline: Not on the Baseline
2018 GPRA Permit Baseline: Not on the Baseline
Sub-Part K Indicator: Not reported
Hazardous Secondary Material Indicator: N
Federal Facility Indicator: Not reported
Active Site State-Reg Handler: ---
Federal Universal Waste: No
Universal Waste Destination Facility: Yes
Universal Waste Indicator: Yes
Off-Site Waste Receipt: No
Underground Injection Control: No
Smelting Melting and Refining Furnace Exemption: No
Small Quantity On-Site Burner Exemption: No
Recycler Activity with Storage: No
Transfer Facility Activity: No
Transporter Activity: No
Mixed Waste Generator: No
Importer Activity: No
CA7-701-01-28 (Continued) 1024777649
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Elevation Site Database(s) EPA ID Number
Evaluations: No Evaluations Found
Evaluation Action Summary:

Violations: No Violations Found
Facility Has Received Notices of Violations:

NAICS Description: All Other Waste Management Services
NAICS Code: 56299
List of NAICS Codes and Descriptions:

Electronic Manifest Broker: Not reported
Non Storage Recycler Activity: Not reported
Current Record: Yes
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Not a generator, verified Handler Name: CA7-701-01-28
Receive Date: 20190122
Historic Generators:

Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 714-577-0865
Owner/Operator City,State,Zip: BREA, CA 92823
Owner/Operator Address: 275 SOUTH VALENCIA AVENUE
Date Ended Current: Not reported
Date Became Current: Not reported
CA7-701-01-28 (Continued) 1024777649
Federal Waste Generator Description: Not a generator, verified Land Type: Not reported
EPA Region: 09
Contact Title: Not reported
Contact Email: [email protected]
Contact Fax: Not reported
Contact Telephone: 408-431-5899
Contact City,State,Zip: CUPERTINO, CA 95014
Contact Address: 19782 BIXBY DRIVE
Contact Name: ELIZABETH JOSEPH
EPA ID: CAC003194464
Handler City,State,Zip: CUPERTINO, CA 95014
Handler Address: 19782 Bixby Drive
Handler Name: 19782 Bixby Drive
Date Form Received by Agency: 20220912
RCRA Listings:
932 ft. Site 1 of 2 in cluster K

0.177 mi.

Relative:

Higher
Actual:
206 ft.
1/8-1/4 CUPERTINO, CA 95014
WSW 19782 BIXBY DRIVE E MANIFEST CAC003194464
K81 19782 BIXBY DRIVE RCRA NonGen / NLR 1027456253
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Elevation Site Database(s) EPA ID Number
Owner/Operator Name: ELIZABETH JOSEPH
Owner/Operator Indicator: Owner
Handler - Owner Operator:

Sub-Part P Indicator: No
Manifest Broker: No
Recycler Activity Without Storage: No
Exporter of Spent Lead Acid Batteries: No
Importer of Spent Lead Acid Batteries: No
Recognized Trader-Exporter: No
Recognized Trader-Importer: No
Handler Date of Last Change: 20241212
Financial Assurance Required: Not reported
Significant Non-Complier With a Compliance Schedule Universe: No Addressed Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Significant Non-Complier Universe: No
Groundwater Controls Indicator: N/A
Human Exposure Controls Indicator: N/A
Institutional Control Indicator: No
Environmental Control Indicator: No
Corrective Action Priority Ranking: No NCAPS ranking
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Subject to Corrective Action Universe: No
202 GPRA Corrective Action Baseline: No
2018 GPRA Renewals Baseline: Not on the Baseline
2018 GPRA Permit Baseline: Not on the Baseline
Sub-Part K Indicator: Not reported
Hazardous Secondary Material Indicator: N
Federal Facility Indicator: Not reported
Active Site State-Reg Handler: ---
Federal Universal Waste: No
Universal Waste Destination Facility: No
Universal Waste Indicator: No
Off-Site Waste Receipt: No
Underground Injection Control: No
Smelting Melting and Refining Furnace Exemption: No
Small Quantity On-Site Burner Exemption: No
Recycler Activity with Storage: No
Transfer Facility Activity: No
Transporter Activity: No
Mixed Waste Generator: No
Importer Activity: No
Short-Term Generator Activity: No
Operator Type: Other
Operator Name: Elizabeth Joseph
Owner Type: Other
Owner Name: Elizabeth Joseph
Mailing City,State,Zip: CUPERTINO, CA 95014
Mailing Address: 19782 BIXBY DRIVE
State District: Not reported
State District Owner: Not reported
Active Site Indicator: Not reported
Accessibility: Not reported
Biennial Report Cycle: Not reported
Non-Notifier: Not reported
19782 BIXBY DRIVE (Continued) 1027456253
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Elevation Site Database(s) EPA ID Number
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20220922
Shipped Date: 20220922
Last Updated Date: 20221017
Manifest Tracking Number: 020986363JJK
E MANIFEST:

Evaluations: No Evaluations Found
Evaluation Action Summary:

Violations: No Violations Found
Facility Has Received Notices of Violations:

NAICS Description: All Other Waste Management Services
NAICS Code: 56299
List of NAICS Codes and Descriptions:

Electronic Manifest Broker: No
Non Storage Recycler Activity: No
Current Record: Yes
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Not a generator, verified Handler Name: 19782 BIXBY DRIVE
Receive Date: 20220912
Historic Generators:

Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 408-431-5899
Owner/Operator City,State,Zip: CUPERTINO, CA 95014
Owner/Operator Address: 19782 BIXBY DRIVE
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: ELIZABETH JOSEPH
Owner/Operator Indicator: Operator
Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 408-431-5899
Owner/Operator City,State,Zip: CUPERTINO, CA 95014
Owner/Operator Address: 19782 BIXBY DRIVE
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
19782 BIXBY DRIVE (Continued) 1027456253
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Elevation Site Database(s) EPA ID Number
Quantity Unit of Measure Code: Y
Waste Quantity: 1
Container Type Description: Burlap, cloth, paper, or plastic bags Container Type Code: BA
Number of Containers: 3
Non-Hazardous Waste Description: Not reported
U.S. DOT Description: Na2212, Asbestos, 9, Pg Iii, Rq
U.S. DOT ID Number: NA2212
U.S. DOT Hazardous Indicator: Y
Waste Line Number: 1
Manifest Tracking Number: 020986363JJK
Waste Line:

Transporter Name: Ferma Greenbox Inc
Transporter EPA ID: CAR000273680
Transporter Line Number: 2
Manifest Tracking Number: 020986363JJK
Transporter Name: Jwh Asbestos Removal Services
Transporter EPA ID: CAL000450184
Transporter Line Number: 1
Manifest Tracking Number: 020986363JJK
Transporter:

Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 94551
Designated Facility Location City: LIVERMORE
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: ALTAMONT PASS RD Designated Facility Location Street Number: 10840
Designated Facility Mail State: CA
Designated Facility Mail Zip: 94551
Designated Facility Mail City: LIVERMORE
Designated Facility Mail Street 2: ALTAMONT PASS RD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 10840
Designated Facility Name: Altamont Landfill & Resource Recovery Facility Designated Facility EPA ID: CAD981382732
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 95014
Generator Mail City: CUPERTINO
Generator Mail Street 2: Not reported
Generator Mail Street 1: 19782 BIXBY DRIVE
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 19782 BIXBY DRIVE
Generator Location Street Number: Not reported
Generator Name: Elizabeth Joseph
Generator EPA ID: CAC003194464
19782 BIXBY DRIVE (Continued) 1027456253
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Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
State Waste Codes: CA-151
Quantity Non Haz Tons: 0.84
Quantity Non Haz Kg: 761.9052
Quantity Haz Tons: 0
Quantity Haz Kg: 0
Federal Waste Codes: Not reported
EPA Waste Indicator: N
Consent Number: Not reported
Waste Minimization Code Description: Not reported
Waste Minimization Code: Not reported
Source Code Description: Not reported
Source Code: Not reported
Form Code Description: Not reported
Form Code: Not reported
Waste Density Unit of Measure Description: Not reported Waste Density Unit of Measure Code: Not reported
Waste Density: Not reported
Waste Type Discrepancy Indicator: N
Quantity Discrepancy Indicator: N
Waste Residue Indicator: N
Management Method Description: LANDFILL (WITH PRIOR TREATMENT AND/OR STABILIZATION) Management Method Code: H132
Non-Acute Waste Quantity, in Kilorgrams: 761.9052
Acute Waste Quantity, in Kilograms: 0
Waste Quantity, in Kilograms: 761.9052
Non-Acute Waste Quantity, in Tons: 0.84
Acute Waste Quantity, in Tons: 0
Waste Quantity, in Tons: 0.84
Quantity Unit of Measure Description: Cubic Yards
19782 BIXBY DRIVE (Continued) 1027456253
State District: Not reported
State District Owner: Not reported
Active Site Indicator: Not reported
Accessibility: Not reported
Biennial Report Cycle: Not reported
Non-Notifier: Not reported
Federal Waste Generator Description: Not a generator, verified Land Type: Not reported
EPA Region: 09
Contact Title: Not reported
Contact Email: [email protected]
Contact Fax: Not reported
Contact Telephone: 408-887-1972
Contact City,State,Zip: CUPERTINO, CA 95014
Contact Address: 19782 BIXBY DR
Contact Name: BRIAN FEINBERG
EPA ID: CAC003262957
Handler City,State,Zip: CUPERTINO, CA 95014
Handler Address: 19782 Bixby Dr
Handler Name: Brian Feinberg
Date Form Received by Agency: 20240229
RCRA Listings:
932 ft. Site 2 of 2 in cluster K

0.177 mi.

Relative:

Higher
Actual:
206 ft.
1/8-1/4 CUPERTINO, CA 95014
WSW 19782 BIXBY DR E MANIFEST CAC003262957
K82 BRIAN FEINBERG RCRA NonGen / NLR 1028901123
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Elevation Site Database(s) EPA ID Number
Owner/Operator Telephone: 408-887-1972
Owner/Operator City,State,Zip: CUPERTINO, CA 95014
Owner/Operator Address: 19782 BIXBY DR
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: BRIAN FEINBERG
Owner/Operator Indicator: Owner
Handler - Owner Operator:

Sub-Part P Indicator: No
Manifest Broker: No
Recycler Activity Without Storage: No
Exporter of Spent Lead Acid Batteries: No
Importer of Spent Lead Acid Batteries: No
Recognized Trader-Exporter: No
Recognized Trader-Importer: No
Handler Date of Last Change: 20240918
Financial Assurance Required: Not reported
Significant Non-Complier With a Compliance Schedule Universe: No Addressed Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Significant Non-Complier Universe: No
Groundwater Controls Indicator: N/A
Human Exposure Controls Indicator: N/A
Institutional Control Indicator: No
Environmental Control Indicator: No
Corrective Action Priority Ranking: No NCAPS ranking
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Subject to Corrective Action Universe: No
202 GPRA Corrective Action Baseline: No
2018 GPRA Renewals Baseline: Not on the Baseline
2018 GPRA Permit Baseline: Not on the Baseline
Sub-Part K Indicator: Not reported
Hazardous Secondary Material Indicator: N
Federal Facility Indicator: Not reported
Active Site State-Reg Handler: ---
Federal Universal Waste: No
Universal Waste Destination Facility: No
Universal Waste Indicator: No
Off-Site Waste Receipt: No
Underground Injection Control: No
Smelting Melting and Refining Furnace Exemption: No
Small Quantity On-Site Burner Exemption: No
Recycler Activity with Storage: No
Transfer Facility Activity: No
Transporter Activity: No
Mixed Waste Generator: No
Importer Activity: No
Short-Term Generator Activity: No
Operator Type: Not reported
Operator Name: Not reported
Owner Type: Not reported
Owner Name: Not reported
Mailing City,State,Zip: Not reported
Mailing Address: Not reported
BRIAN FEINBERG (Continued) 1028901123
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Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Evaluations: No Evaluations Found
Evaluation Action Summary:

Violations: No Violations Found
Facility Has Received Notices of Violations:

NAICS Description: All Other Waste Management Services
NAICS Code: 56299
List of NAICS Codes and Descriptions:

Electronic Manifest Broker: No
Non Storage Recycler Activity: No
Current Record: Yes
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Not a generator, verified Handler Name: BRIAN FEINBERG
Receive Date: 20240229
Electronic Manifest Broker: No
Non Storage Recycler Activity: No
Current Record: No
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Not a generator, verified Handler Name: BRIAN FEINBERG
Receive Date: 20231130
Historic Generators:

Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 408-887-1972
Owner/Operator City,State,Zip: CUPERTINO, CA 95014
Owner/Operator Address: 19782 BIXBY DR
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: BRIAN FEINBERG
Owner/Operator Indicator: Operator
Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
BRIAN FEINBERG (Continued) 1028901123
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Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Container Type Code: BA
Number of Containers: 9
Non-Hazardous Waste Description: Not reported
U.S. DOT Description: Rq,Na2212,Asbestos,9,Pgiii
U.S. DOT ID Number: NA2212
U.S. DOT Hazardous Indicator: Y
Waste Line Number: 1
Manifest Tracking Number: 100089974ELC
Waste Line:

Transporter Name: Cve Contracting Group Inc.

Transporter EPA ID: CAL000354470
Transporter Line Number: 1
Manifest Tracking Number: 100089974ELC
Transporter:

Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95687
Designated Facility Location City: VACAVILLE
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: HAY RD
Designated Facility Location Street Number: 6426
Designated Facility Mail State: CA
Designated Facility Mail Zip: 95620
Designated Facility Mail City: DIXON
Designated Facility Mail Street 2: N FIRST ST
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 235
Designated Facility Name: Recology Hay Road
Designated Facility EPA ID: CAD982042475
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 95014
Generator Mail City: CUPERTINO
Generator Mail Street 2: Not reported
Generator Mail Street 1: 19782 BIXBY DR
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 19782 BIXBY DR
Generator Location Street Number: Not reported
Generator Name: Brian Feinberg
Generator EPA ID: CAC003262957
Origin Type: Web
Submission Type: FullElectronic
Manifest Status: Signed
Received Date: 20231214
Shipped Date: 20231213
Last Updated Date: 20231215
Manifest Tracking Number: 100089974ELC
E MANIFEST:

BRIAN FEINBERG (Continued) 1028901123
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Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
State Waste Codes: CA-151
Quantity Non Haz Tons: 0.84
Quantity Non Haz Kg: 761.9052
Quantity Haz Tons: Not reported
Quantity Haz Kg: Not reported
Federal Waste Codes: Not reported
EPA Waste Indicator: N
Consent Number: Not reported
Waste Minimization Code Description: Not reported
Waste Minimization Code: Not reported
Source Code Description: Not reported
Source Code: Not reported
Form Code Description: Not reported
Form Code: Not reported
Waste Density Unit of Measure Description: Not reported Waste Density Unit of Measure Code: Not reported
Waste Density: Not reported
Waste Type Discrepancy Indicator: N
Quantity Discrepancy Indicator: N
Waste Residue Indicator: N
Management Method Description: LANDFILL (WITH PRIOR TREATMENT AND/OR STABILIZATION) Management Method Code: H132
Non-Acute Waste Quantity, in Kilorgrams: 761.9052
Acute Waste Quantity, in Kilograms: 0
Waste Quantity, in Kilograms: 761.9052
Non-Acute Waste Quantity, in Tons: 0.84
Acute Waste Quantity, in Tons: 0
Waste Quantity, in Tons: 0.84
Quantity Unit of Measure Description: Cubic Yards
Quantity Unit of Measure Code: Y
Waste Quantity: 1
Container Type Description: Burlap, cloth, paper, or plastic bags BRIAN FEINBERG (Continued) 1028901123
Accessibility: Not reported
Biennial Report Cycle: Not reported
Non-Notifier: Not reported
Federal Waste Generator Description: Not a generator, verified Land Type: Not reported
EPA Region: 09
Contact Title: Not reported
Contact Email: [email protected]
Contact Fax: Not reported
Contact Telephone: 650-863-0873
Contact City,State,Zip: SAN MATEO, CA 94403
Contact Address: 1900 S. NORFOLK STREET
Contact Name: JOHN DAVIS
EPA ID: CAC003242566
Handler City,State,Zip: CUPERTINO, CA 95014
Handler Address: 10200 Miller Avenue
Handler Name: Gardens At Fontainebleau
Date Form Received by Agency: 20230719
RCRA Listings:
953 ft. Site 1 of 9 in cluster L

0.180 mi.

Relative:

Higher
Actual:
204 ft.
1/8-1/4 CUPERTINO, CA 95014
SSE 10200 MILLER AVENUE E MANIFEST CAC003242566
L83 GARDENS AT FONTAINEBLEAU RCRA NonGen / NLR 1027699511 TC07984167.2r Page 308
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Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: JOHN DAVIS
Owner/Operator Indicator: Operator
Handler - Owner Operator:

Sub-Part P Indicator: No
Manifest Broker: No
Recycler Activity Without Storage: No
Exporter of Spent Lead Acid Batteries: No
Importer of Spent Lead Acid Batteries: No
Recognized Trader-Exporter: No
Recognized Trader-Importer: No
Handler Date of Last Change: 20230719
Financial Assurance Required: Not reported
Significant Non-Complier With a Compliance Schedule Universe: No Addressed Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Significant Non-Complier Universe: No
Groundwater Controls Indicator: N/A
Human Exposure Controls Indicator: N/A
Institutional Control Indicator: No
Environmental Control Indicator: No
Corrective Action Priority Ranking: No NCAPS ranking
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Subject to Corrective Action Universe: No
202 GPRA Corrective Action Baseline: No
2018 GPRA Renewals Baseline: Not on the Baseline
2018 GPRA Permit Baseline: Not on the Baseline
Sub-Part K Indicator: Not reported
Hazardous Secondary Material Indicator: N
Federal Facility Indicator: Not reported
Active Site State-Reg Handler: ---
Federal Universal Waste: No
Universal Waste Destination Facility: No
Universal Waste Indicator: No
Off-Site Waste Receipt: No
Underground Injection Control: No
Smelting Melting and Refining Furnace Exemption: No
Small Quantity On-Site Burner Exemption: No
Recycler Activity with Storage: No
Transfer Facility Activity: No
Transporter Activity: No
Mixed Waste Generator: No
Importer Activity: No
Short-Term Generator Activity: No
Operator Type: Other
Operator Name: John Davis
Owner Type: Other
Owner Name: Preg Emerson, Llc
Mailing City,State,Zip: SAN MATEO, CA 94403
Mailing Address: 1900 S. NORFOLK STREET
State District: Not reported
State District Owner: Not reported
Active Site Indicator: Not reported
GARDENS AT FONTAINEBLEAU (Continued) 1027699511
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Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Generator Location Street Number: Not reported
Generator Name: Gardens At Fontainebleau
Generator EPA ID: CAC003242566
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20230728
Shipped Date: 20230724
Last Updated Date: 20230816
Manifest Tracking Number: 017873187FLE
E MANIFEST:

Evaluations: No Evaluations Found
Evaluation Action Summary:

Violations: No Violations Found
Facility Has Received Notices of Violations:

NAICS Description: Lessors Of Residential Buildings And Dwellings NAICS Code: 531110
List of NAICS Codes and Descriptions:

Electronic Manifest Broker: No
Non Storage Recycler Activity: No
Current Record: Yes
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Not a generator, verified Handler Name: GARDENS AT FONTAINEBLEAU
Receive Date: 20230719
Historic Generators:

Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 650-863-0873
Owner/Operator City,State,Zip: SAN MATEO, CA 94403
Owner/Operator Address: 1900 S. NORFOLK STREET
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: PREG EMERSON, LLC
Owner/Operator Indicator: Owner
Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 650-863-0873
Owner/Operator City,State,Zip: SAN MATEO, CA 94403
Owner/Operator Address: 1900 S. NORFOLK STREET
GARDENS AT FONTAINEBLEAU (Continued) 1027699511
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Map ID MAP FINDINGS
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Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Designated Facility Mail Street 2: ALTAMONT PASS RD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 10840
Designated Facility Name: Altamont Landfill & Resource Recovery Facility Designated Facility EPA ID: CAD981382732
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94403
Generator Mail City: SAN MATEO
Generator Mail Street 2: 1 NORTH B STREET SUITE 4000
Generator Mail Street 1: 1900 S. NORFOLK STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVENUE
Generator Location Street Number: Not reported
Generator Name: Gardens At Fontainebleau
Generator EPA ID: CAC003242566
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20231018
Shipped Date: 20231016
Last Updated Date: 20231108
Manifest Tracking Number: 018744282FLE
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 94551
Designated Facility Location City: LIVERMORE
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: ALTAMONT PASS RD Designated Facility Location Street Number: 10840
Designated Facility Mail State: CA
Designated Facility Mail Zip: 94551
Designated Facility Mail City: LIVERMORE
Designated Facility Mail Street 2: ALTAMONT PASS RD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 10840
Designated Facility Name: Altamont Landfill & Resource Recovery Facility Designated Facility EPA ID: CAD981382732
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94403
Generator Mail City: SAN MATEO
Generator Mail Street 2: SUITE 150
Generator Mail Street 1: 1900 S. NORFOLK STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVENUE
GARDENS AT FONTAINEBLEAU (Continued) 1027699511
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Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Transporter EPA ID: CAR000070540
Transporter Line Number: 1
Manifest Tracking Number: 018744523FLE
Transporter:

Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 94551
Designated Facility Location City: LIVERMORE
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: ALTAMONT PASS RD Designated Facility Location Street Number: 10840
Designated Facility Mail State: CA
Designated Facility Mail Zip: 94551
Designated Facility Mail City: LIVERMORE
Designated Facility Mail Street 2: ALTAMONT PASS RD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 10840
Designated Facility Name: Altamont Landfill & Resource Recovery Facility Designated Facility EPA ID: CAD981382732
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94403
Generator Mail City: SAN MATEO
Generator Mail Street 2: SUITE 150
Generator Mail Street 1: 1900 S. NORFOLK STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVENUE
Generator Location Street Number: Not reported
Generator Name: Gardens At Fontainebleau
Generator EPA ID: CAC003242566
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20230913
Shipped Date: 20230911
Last Updated Date: 20230928
Manifest Tracking Number: 018744523FLE
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 94551
Designated Facility Location City: LIVERMORE
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: ALTAMONT PASS RD Designated Facility Location Street Number: 10840
Designated Facility Mail State: CA
Designated Facility Mail Zip: 94551
Designated Facility Mail City: LIVERMORE
GARDENS AT FONTAINEBLEAU (Continued) 1027699511
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Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
State Waste Codes: CA-151
Quantity Non Haz Tons: 0.84
Quantity Non Haz Kg: 761.9052
Quantity Haz Tons: Not reported
Quantity Haz Kg: Not reported
Federal Waste Codes: Not reported
EPA Waste Indicator: N
Consent Number: Not reported
Waste Minimization Code Description: Not reported
Waste Minimization Code: Not reported
Source Code Description: Not reported
Source Code: Not reported
Form Code Description: Not reported
Form Code: Not reported
Waste Density Unit of Measure Description: Not reported Waste Density Unit of Measure Code: Not reported
Waste Density: Not reported
Waste Type Discrepancy Indicator: N
Quantity Discrepancy Indicator: N
Waste Residue Indicator: N
Management Method Description: LANDFILL (WITH PRIOR TREATMENT AND/OR STABILIZATION) Management Method Code: H132
Non-Acute Waste Quantity, in Kilorgrams: 761.9052
Acute Waste Quantity, in Kilograms: 0
Waste Quantity, in Kilograms: 761.9052
Non-Acute Waste Quantity, in Tons: 0.84
Acute Waste Quantity, in Tons: 0
Waste Quantity, in Tons: 0.84
Quantity Unit of Measure Description: Cubic Yards
Quantity Unit of Measure Code: Y
Waste Quantity: 1
Container Type Description: Burlap, cloth, paper, or plastic bags Container Type Code: BA
Number of Containers: 8
Non-Hazardous Waste Description: Not reported
U.S. DOT Description: Rq, Na2212, Asbestos, 9, Pg Iii
U.S. DOT ID Number: NA2212
U.S. DOT Hazardous Indicator: Y
Waste Line Number: 1
Manifest Tracking Number: 018744523FLE
Waste Line:

Transporter Name: Advanced Chemical Transport Inc. Dba Actenviro GARDENS AT FONTAINEBLEAU (Continued) 1027699511
Contact Name: JOHN DAVIS
EPA ID: CAC003223618
Handler City,State,Zip: CUPERTINO, CA 95014
Handler Address: 10200 Miller Ave
Handler Name: Gardens Of Fontainebleau Reno
Date Form Received by Agency: 20230321
RCRA Listings:
953 ft. Site 2 of 9 in cluster L

0.180 mi.

Relative:

Higher
Actual:
204 ft.
1/8-1/4 CUPERTINO, CA 95014
SSE 10200 MILLER AVE E MANIFEST CAC003223618
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Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Importer of Spent Lead Acid Batteries: No
Recognized Trader-Exporter: No
Recognized Trader-Importer: No
Handler Date of Last Change: 20230321
Financial Assurance Required: Not reported
Significant Non-Complier With a Compliance Schedule Universe: No Addressed Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Significant Non-Complier Universe: No
Groundwater Controls Indicator: N/A
Human Exposure Controls Indicator: N/A
Institutional Control Indicator: No
Environmental Control Indicator: No
Corrective Action Priority Ranking: No NCAPS ranking
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Subject to Corrective Action Universe: No
202 GPRA Corrective Action Baseline: No
2018 GPRA Renewals Baseline: Not on the Baseline
2018 GPRA Permit Baseline: Not on the Baseline
Sub-Part K Indicator: Not reported
Hazardous Secondary Material Indicator: N
Federal Facility Indicator: Not reported
Active Site State-Reg Handler: ---
Federal Universal Waste: No
Universal Waste Destination Facility: No
Universal Waste Indicator: No
Off-Site Waste Receipt: No
Underground Injection Control: No
Smelting Melting and Refining Furnace Exemption: No
Small Quantity On-Site Burner Exemption: No
Recycler Activity with Storage: No
Transfer Facility Activity: No
Transporter Activity: No
Mixed Waste Generator: No
Importer Activity: No
Short-Term Generator Activity: No
Operator Type: Other
Operator Name: John Davis
Owner Type: Other
Owner Name: Preg Emerson, Llc
Mailing City,State,Zip: SAN MATEO, CA 94403
Mailing Address: 1900 S. NORFOLK STREET
State District: Not reported
State District Owner: Not reported
Active Site Indicator: Not reported
Accessibility: Not reported
Biennial Report Cycle: Not reported
Non-Notifier: Not reported
Federal Waste Generator Description: Not a generator, verified Land Type: Not reported
EPA Region: 09
Contact Title: Not reported
Contact Email: [email protected]
Contact Fax: Not reported
Contact Telephone: 650-863-0873
Contact City,State,Zip: SAN MATEO, CA 94403
Contact Address: 1900 S. NORFOLK STREET
GARDENS OF FONTAINEBLEAU RENO (Continued) 1027449641
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Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Evaluations: No Evaluations Found
Evaluation Action Summary:

Violations: No Violations Found
Facility Has Received Notices of Violations:

NAICS Description: All Other Waste Management Services
NAICS Code: 56299
List of NAICS Codes and Descriptions:

Electronic Manifest Broker: No
Non Storage Recycler Activity: No
Current Record: Yes
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Not a generator, verified Handler Name: GARDENS OF FONTAINEBLEAU RENO
Receive Date: 20230321
Historic Generators:

Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 650-863-0873
Owner/Operator City,State,Zip: SAN MATEO, CA 94403
Owner/Operator Address: 1900 S. NORFOLK STREET
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: JOHN DAVIS
Owner/Operator Indicator: Operator
Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 650-863-0873
Owner/Operator City,State,Zip: SAN MATEO, CA 94403
Owner/Operator Address: 1900 S. NORFOLK STREET
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: PREG EMERSON, LLC
Owner/Operator Indicator: Owner
Handler - Owner Operator:

Sub-Part P Indicator: No
Manifest Broker: No
Recycler Activity Without Storage: No
Exporter of Spent Lead Acid Batteries: No
GARDENS OF FONTAINEBLEAU RENO (Continued) 1027449641
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Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Generator Mail Street Number: 1900
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVE
Generator Location Street Number: 10200
Generator Name: Gardens Of Fontainebleau Reno
Generator EPA ID: CAC003173292
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20220809
Shipped Date: 20220804
Last Updated Date: 20220811
Manifest Tracking Number: 022434865JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95366
Designated Facility Location City: MANTECA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: SOUTH AUSTIN ROAD Designated Facility Location Street Number: 9999
Designated Facility Mail State: CA
Designated Facility Mail Zip: 95336
Designated Facility Mail City: MANTECA
Designated Facility Mail Street 2: SOUTH AUSTIN ROAD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 9999
Designated Facility Name: Forward Landfill Inc Disposal Designated Facility EPA ID: CAL000190080
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94403
Generator Mail City: SAN MATEO
Generator Mail Street 2: SUITE 150
Generator Mail Street 1: S. NORFOLK STREET
Generator Mail Street Number: 1900
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVE
Generator Location Street Number: 10200
Generator Name: Gardens Of Fontainebleau Reno
Generator EPA ID: CAC003173292
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20220809
Shipped Date: 20220804
Last Updated Date: 20220811
Manifest Tracking Number: 022434865JJK
E MANIFEST:

GARDENS OF FONTAINEBLEAU RENO (Continued) 1027449641
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Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: SOUTH AUSTIN ROAD Designated Facility Location Street Number: 9999
Designated Facility Mail State: CA
Designated Facility Mail Zip: 95336
Designated Facility Mail City: MANTECA
Designated Facility Mail Street 2: SOUTH AUSTIN ROAD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 9999
Designated Facility Name: Forward Landfill Inc Disposal Designated Facility EPA ID: CAL000190080
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94403
Generator Mail City: SAN MATEO
Generator Mail Street 2: SUITE 150
Generator Mail Street 1: S. NORFOLK STREET
Generator Mail Street Number: 1900
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVE
Generator Location Street Number: 10200
Generator Name: Gardens Of Fontainebleau Reno
Generator EPA ID: CAC003173292
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20220809
Shipped Date: 20220804
Last Updated Date: 20220811
Manifest Tracking Number: 022434865JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95366
Designated Facility Location City: MANTECA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: SOUTH AUSTIN ROAD Designated Facility Location Street Number: 9999
Designated Facility Mail State: CA
Designated Facility Mail Zip: 95336
Designated Facility Mail City: MANTECA
Designated Facility Mail Street 2: SOUTH AUSTIN ROAD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 9999
Designated Facility Name: Forward Landfill Inc Disposal Designated Facility EPA ID: CAL000190080
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94403
Generator Mail City: SAN MATEO
Generator Mail Street 2: SUITE 150
Generator Mail Street 1: S. NORFOLK STREET
GARDENS OF FONTAINEBLEAU RENO (Continued) 1027449641
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Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Generator Location Street Number: Not reported
Generator Name: Gardens Of Fontainebleau Reno
Generator EPA ID: CAC003187447
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20220806
Shipped Date: 20220802
Last Updated Date: 20220811
Manifest Tracking Number: 022434924JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95366
Designated Facility Location City: MANTECA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: SOUTH AUSTIN ROAD Designated Facility Location Street Number: 9999
Designated Facility Mail State: CA
Designated Facility Mail Zip: 95336
Designated Facility Mail City: MANTECA
Designated Facility Mail Street 2: SOUTH AUSTIN ROAD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 9999
Designated Facility Name: Forward Landfill Inc Disposal Designated Facility EPA ID: CAL000190080
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94403
Generator Mail City: SAN MATEO
Generator Mail Street 2: Not reported
Generator Mail Street 1: 1900 S. NORFOLK STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVE
Generator Location Street Number: Not reported
Generator Name: Gardens Of Fontainebleau Reno
Generator EPA ID: CAC003187447
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20220806
Shipped Date: 20220802
Last Updated Date: 20220811
Manifest Tracking Number: 022434924JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95366
Designated Facility Location City: MANTECA
GARDENS OF FONTAINEBLEAU RENO (Continued) 1027449641
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Designated Facility Mail Street 2: SOUTH AUSTIN ROAD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 9999
Designated Facility Name: Forward Landfill Inc Disposal Designated Facility EPA ID: CAL000190080
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94403
Generator Mail City: SAN MATEO
Generator Mail Street 2: Not reported
Generator Mail Street 1: 1900 S. NORFOLK STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVE
Generator Location Street Number: Not reported
Generator Name: Gardens Of Fontainebleau Reno
Generator EPA ID: CAC003187447
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20220806
Shipped Date: 20220802
Last Updated Date: 20220811
Manifest Tracking Number: 022434924JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95366
Designated Facility Location City: MANTECA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: SOUTH AUSTIN ROAD Designated Facility Location Street Number: 9999
Designated Facility Mail State: CA
Designated Facility Mail Zip: 95336
Designated Facility Mail City: MANTECA
Designated Facility Mail Street 2: SOUTH AUSTIN ROAD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 9999
Designated Facility Name: Forward Landfill Inc Disposal Designated Facility EPA ID: CAL000190080
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94403
Generator Mail City: SAN MATEO
Generator Mail Street 2: Not reported
Generator Mail Street 1: 1900 S. NORFOLK STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVE
GARDENS OF FONTAINEBLEAU RENO (Continued) 1027449641
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Received Date: 20220906
Shipped Date: 20220819
Last Updated Date: 20220909
Manifest Tracking Number: 022434936JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95366
Designated Facility Location City: MANTECA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: SOUTH AUSTIN ROAD Designated Facility Location Street Number: 9999
Designated Facility Mail State: CA
Designated Facility Mail Zip: 95336
Designated Facility Mail City: MANTECA
Designated Facility Mail Street 2: SOUTH AUSTIN ROAD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 9999
Designated Facility Name: Forward Landfill Inc Disposal Designated Facility EPA ID: CAL000190080
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94403
Generator Mail City: SAN MATEO
Generator Mail Street 2: Not reported
Generator Mail Street 1: 1900 S. NORFOLK STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVE
Generator Location Street Number: Not reported
Generator Name: Gardens Of Fontainebleau Reno
Generator EPA ID: CAC003187447
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20220906
Shipped Date: 20220819
Last Updated Date: 20220909
Manifest Tracking Number: 022434936JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95366
Designated Facility Location City: MANTECA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: SOUTH AUSTIN ROAD Designated Facility Location Street Number: 9999
Designated Facility Mail State: CA
Designated Facility Mail Zip: 95336
Designated Facility Mail City: MANTECA
GARDENS OF FONTAINEBLEAU RENO (Continued) 1027449641
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Generator Mail State: CA
Generator Mail Zip: 94403
Generator Mail City: SAN MATEO
Generator Mail Street 2: Not reported
Generator Mail Street 1: 1900 S. NORFOLK STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVE
Generator Location Street Number: Not reported
Generator Name: Gardens Of Fontainebleau Reno
Generator EPA ID: CAC003187447
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20220906
Shipped Date: 20220819
Last Updated Date: 20220909
Manifest Tracking Number: 022434936JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95366
Designated Facility Location City: MANTECA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: SOUTH AUSTIN ROAD Designated Facility Location Street Number: 9999
Designated Facility Mail State: CA
Designated Facility Mail Zip: 95336
Designated Facility Mail City: MANTECA
Designated Facility Mail Street 2: SOUTH AUSTIN ROAD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 9999
Designated Facility Name: Forward Landfill Inc Disposal Designated Facility EPA ID: CAL000190080
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94403
Generator Mail City: SAN MATEO
Generator Mail Street 2: Not reported
Generator Mail Street 1: 1900 S. NORFOLK STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVE
Generator Location Street Number: Not reported
Generator Name: Gardens Of Fontainebleau Reno
Generator EPA ID: CAC003187447
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
GARDENS OF FONTAINEBLEAU RENO (Continued) 1027449641
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Elevation Site Database(s) EPA ID Number
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95366
Designated Facility Location City: MANTECA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: SOUTH AUSTIN ROAD Designated Facility Location Street Number: 9999
Designated Facility Mail State: CA
Designated Facility Mail Zip: 95336
Designated Facility Mail City: MANTECA
Designated Facility Mail Street 2: SOUTH AUSTIN ROAD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 9999
Designated Facility Name: Forward Landfill Inc Disposal Designated Facility EPA ID: CAL000190080
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94403
Generator Mail City: SAN MATEO
Generator Mail Street 2: Not reported
Generator Mail Street 1: 1900 S. NORFOLK STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVE
Generator Location Street Number: Not reported
Generator Name: Gardens Of Fontainebleau Reno
Generator EPA ID: CAC003187447
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20220830
Shipped Date: 20220816
Last Updated Date: 20220906
Manifest Tracking Number: 022434943JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95366
Designated Facility Location City: MANTECA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: SOUTH AUSTIN ROAD Designated Facility Location Street Number: 9999
Designated Facility Mail State: CA
Designated Facility Mail Zip: 95336
Designated Facility Mail City: MANTECA
Designated Facility Mail Street 2: SOUTH AUSTIN ROAD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 9999
Designated Facility Name: Forward Landfill Inc Disposal Designated Facility EPA ID: CAL000190080
Generator Contact Company Name: Not reported
GARDENS OF FONTAINEBLEAU RENO (Continued) 1027449641
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Waste Line Number: 1
Manifest Tracking Number: 022434943JJK
Waste Line:

Transporter Name: E C T I
Transporter EPA ID: CAR000049064
Transporter Line Number: 2
Manifest Tracking Number: 022434943JJK
Transporter Name: Ati Restoration Llc
Transporter EPA ID: CAL000374063
Transporter Line Number: 1
Manifest Tracking Number: 022434943JJK
Transporter:

Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95366
Designated Facility Location City: MANTECA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: SOUTH AUSTIN ROAD Designated Facility Location Street Number: 9999
Designated Facility Mail State: CA
Designated Facility Mail Zip: 95336
Designated Facility Mail City: MANTECA
Designated Facility Mail Street 2: SOUTH AUSTIN ROAD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 9999
Designated Facility Name: Forward Landfill Inc Disposal Designated Facility EPA ID: CAL000190080
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94403
Generator Mail City: SAN MATEO
Generator Mail Street 2: Not reported
Generator Mail Street 1: 1900 S. NORFOLK STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVE
Generator Location Street Number: Not reported
Generator Name: Gardens Of Fontainebleau Reno
Generator EPA ID: CAC003187447
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20220830
Shipped Date: 20220816
Last Updated Date: 20220906
Manifest Tracking Number: 022434943JJK
Rejection Indicator: N
GARDENS OF FONTAINEBLEAU RENO (Continued) 1027449641
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102 additional US EManifest: record(s) in the EDR Site Report.

Click this hyperlink while viewing on your computer to access State Waste Codes: CA-151
Quantity Non Haz Tons: 8.4
Quantity Non Haz Kg: 7619.052
Quantity Haz Tons: 0
Quantity Haz Kg: 0
Federal Waste Codes: Not reported
EPA Waste Indicator: N
Consent Number: Not reported
Waste Minimization Code Description: Not reported
Waste Minimization Code: Not reported
Source Code Description: Not reported
Source Code: Not reported
Form Code Description: Not reported
Form Code: Not reported
Waste Density Unit of Measure Description: Not reported Waste Density Unit of Measure Code: Not reported
Waste Density: Not reported
Waste Type Discrepancy Indicator: N
Quantity Discrepancy Indicator: N
Waste Residue Indicator: N
Management Method Description: LANDFILL (WITH PRIOR TREATMENT AND/OR STABILIZATION) Management Method Code: H132
Non-Acute Waste Quantity, in Kilorgrams: 7619.052
Acute Waste Quantity, in Kilograms: 0
Waste Quantity, in Kilograms: 7619.052
Non-Acute Waste Quantity, in Tons: 8.4
Acute Waste Quantity, in Tons: 0
Waste Quantity, in Tons: 8.4
Quantity Unit of Measure Description: Cubic Yards
Quantity Unit of Measure Code: Y
Waste Quantity: 10
Container Type Description: Burlap, cloth, paper, or plastic bags Container Type Code: BA
Number of Containers: 167
Non-Hazardous Waste Description: Not reported
U.S. DOT Description: Rq, Na2212, Asbestos 9, Pg Iii
U.S. DOT ID Number: NA2212
U.S. DOT Hazardous Indicator: Y
GARDENS OF FONTAINEBLEAU RENO (Continued) 1027449641
Contact Telephone: 650-931-3589
Contact City,State,Zip: SAN MATEO, CA 94401
Contact Address: 1 NORTH B STREET, SUITE 4000
Contact Name: VICTOR FERNANDEZ
EPA ID: CAC003312444
Handler City,State,Zip: CUPERTINO, CA 95014
Handler Address: 10200 Miller Avenue
Handler Name: Gardens Of Fontainbleu Apartments
Date Form Received by Agency: 20241101
RCRA Listings:
953 ft. Site 3 of 9 in cluster L

0.180 mi.

Relative:

Higher
Actual:
204 ft.
1/8-1/4 CUPERTINO, CA 95014
SSE 10200 MILLER AVENUE E MANIFEST CAC003312444
L85 GARDENS OF FONTAINBLEU APARTMENTS 1031469321 RCRA NonGen / NLR TC07984167.2r Page 324
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Manifest Broker: No
Recycler Activity Without Storage: No
Exporter of Spent Lead Acid Batteries: No
Importer of Spent Lead Acid Batteries: No
Recognized Trader-Exporter: No
Recognized Trader-Importer: No
Handler Date of Last Change: 20241102
Financial Assurance Required: Not reported
Significant Non-Complier With a Compliance Schedule Universe: No Addressed Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Significant Non-Complier Universe: No
Groundwater Controls Indicator: N/A
Human Exposure Controls Indicator: N/A
Institutional Control Indicator: No
Environmental Control Indicator: No
Corrective Action Priority Ranking: No NCAPS ranking
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Subject to Corrective Action Universe: No
202 GPRA Corrective Action Baseline: No
2018 GPRA Renewals Baseline: Not on the Baseline
2018 GPRA Permit Baseline: Not on the Baseline
Sub-Part K Indicator: Not reported
Hazardous Secondary Material Indicator: N
Federal Facility Indicator: Not reported
Active Site State-Reg Handler: ---
Federal Universal Waste: No
Universal Waste Destination Facility: No
Universal Waste Indicator: No
Off-Site Waste Receipt: No
Underground Injection Control: No
Smelting Melting and Refining Furnace Exemption: No
Small Quantity On-Site Burner Exemption: No
Recycler Activity with Storage: No
Transfer Facility Activity: No
Transporter Activity: No
Mixed Waste Generator: No
Importer Activity: No
Short-Term Generator Activity: No
Operator Type: Other
Operator Name: Victor Fernandez
Owner Type: Other
Owner Name: Preg Emerson, Llc
Mailing City,State,Zip: SAN MATEO, CA 94401
Mailing Address: 1 NORTH B STREET, SUITE 4000
State District: Not reported
State District Owner: Not reported
Active Site Indicator: Not reported
Accessibility: Not reported
Biennial Report Cycle: Not reported
Non-Notifier: Not reported
Federal Waste Generator Description: Not a generator, verified Land Type: Not reported
EPA Region: 09
Contact Title: Not reported
Contact Email: [email protected]
Contact Fax: Not reported
GARDENS OF FONTAINBLEU APARTMENTS (Continued) 1031469321 TC07984167.2r Page 325
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E MANIFEST:

Evaluations: No Evaluations Found
Evaluation Action Summary:

Violations: No Violations Found
Facility Has Received Notices of Violations:

NAICS Description: Lessors Of Residential Buildings And Dwellings NAICS Code: 531110
List of NAICS Codes and Descriptions:

Electronic Manifest Broker: No
Non Storage Recycler Activity: No
Current Record: Yes
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Not a generator, verified Handler Name: GARDENS OF FONTAINBLEU APARTMENTS
Receive Date: 20241101
Historic Generators:

Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 650-931-3589
Owner/Operator City,State,Zip: SAN MATEO, CA 94401
Owner/Operator Address: 1 NORTH B STREET, SUITE 4000
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: VICTOR FERNANDEZ
Owner/Operator Indicator: Operator
Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 650-931-3589
Owner/Operator City,State,Zip: SAN MATEO, CA 94401
Owner/Operator Address: 1 NORTH B STREET, SUITE 4000
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: PREG EMERSON, LLC
Owner/Operator Indicator: Owner
Handler - Owner Operator:

Sub-Part P Indicator: No
GARDENS OF FONTAINBLEU APARTMENTS (Continued) 1031469321 TC07984167.2r Page 326
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U.S. DOT ID Number: NA2212
U.S. DOT Hazardous Indicator: Y
Waste Line Number: 1
Manifest Tracking Number: 026755735JJK
Waste Line:

Transporter Name: Naman Trucking, Inc.

Transporter EPA ID: CAR000154740
Transporter Line Number: 2
Manifest Tracking Number: 026755735JJK
Transporter Name: Preferred Restoration Inc
Transporter EPA ID: CAL000469233
Transporter Line Number: 1
Manifest Tracking Number: 026755735JJK
Transporter:

Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95366
Designated Facility Location City: MANTECA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: SOUTH AUSTIN ROAD Designated Facility Location Street Number: 9999
Designated Facility Mail State: CA
Designated Facility Mail Zip: 95336
Designated Facility Mail City: MANTECA
Designated Facility Mail Street 2: SOUTH AUSTIN ROAD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 9999
Designated Facility Name: Forward Landfill Inc Disposal Designated Facility EPA ID: CAL000190080
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94401
Generator Mail City: SAN MATEO
Generator Mail Street 2: Not reported
Generator Mail Street 1: 1 NORTH B STREET, SUITE 4000
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVENUE
Generator Location Street Number: Not reported
Generator Name: Gardens Of Fontainbleu Apartments
Generator EPA ID: CAC003312444
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20241114
Shipped Date: 20241106
Last Updated Date: 20241119
Manifest Tracking Number: 026755735JJK
GARDENS OF FONTAINBLEU APARTMENTS (Continued) 1031469321 TC07984167.2r Page 327
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State Waste Codes: CA-151
Quantity Non Haz Tons: 0.84
Quantity Non Haz Kg: 761.9052
Quantity Haz Tons: 0
Quantity Haz Kg: 0
Federal Waste Codes: Not reported
EPA Waste Indicator: N
Consent Number: Not reported
Waste Minimization Code Description: Not reported
Waste Minimization Code: Not reported
Source Code Description: Not reported
Source Code: Not reported
Form Code Description: Not reported
Form Code: Not reported
Waste Density Unit of Measure Description: Not reported Waste Density Unit of Measure Code: Not reported
Waste Density: Not reported
Waste Type Discrepancy Indicator: N
Quantity Discrepancy Indicator: N
Waste Residue Indicator: N
Management Method Description: LANDFILL (WITH PRIOR TREATMENT AND/OR STABILIZATION) Management Method Code: H132
Non-Acute Waste Quantity, in Kilorgrams: 761.9052
Acute Waste Quantity, in Kilograms: 0
Waste Quantity, in Kilograms: 761.9052
Non-Acute Waste Quantity, in Tons: 0.84
Acute Waste Quantity, in Tons: 0
Waste Quantity, in Tons: 0.84
Quantity Unit of Measure Description: Cubic Yards
Quantity Unit of Measure Code: Y
Waste Quantity: 1
Container Type Description: Burlap, cloth, paper, or plastic bags Container Type Code: BA
Number of Containers: 7
Non-Hazardous Waste Description: Not reported
U.S. DOT Description: Rq Na2212,Abestos,9,Pg Iii
GARDENS OF FONTAINBLEU APARTMENTS (Continued) 1031469321 Land Type: Not reported
EPA Region: 09
Contact Title: Not reported
Contact Email: [email protected]
Contact Fax: Not reported
Contact Telephone: 650-931-3400
Contact City,State,Zip: SAN MATEO, CA 94403
Contact Address: 1900 S. NORFOLK STREET
Contact Name: VICTOR FERNANDEZ
EPA ID: CAC003128766
Handler City,State,Zip: CUPERTINO, CA 95014
Handler Address: 10200 Miller Ave
Handler Name: Gardens Apartments
Date Form Received by Agency: 20210712
RCRA Listings:
953 ft. Site 4 of 9 in cluster L

0.180 mi.

Relative:

Higher
Actual:
204 ft.
1/8-1/4 CUPERTINO, CA 95014
SSE 10200 MILLER AVE E MANIFEST CAC003113376
L86 GARDENS APARTMENTS RCRA NonGen / NLR 1026488948
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Elevation Site Database(s) EPA ID Number
Owner/Operator Indicator: Owner
Handler - Owner Operator:

Sub-Part P Indicator: No
Manifest Broker: No
Recycler Activity Without Storage: No
Exporter of Spent Lead Acid Batteries: No
Importer of Spent Lead Acid Batteries: No
Recognized Trader-Exporter: No
Recognized Trader-Importer: No
Handler Date of Last Change: 20210712
Financial Assurance Required: Not reported
Significant Non-Complier With a Compliance Schedule Universe: No Addressed Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Significant Non-Complier Universe: No
Groundwater Controls Indicator: N/A
Human Exposure Controls Indicator: N/A
Institutional Control Indicator: No
Environmental Control Indicator: No
Corrective Action Priority Ranking: No NCAPS ranking
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Subject to Corrective Action Universe: No
202 GPRA Corrective Action Baseline: No
2018 GPRA Renewals Baseline: Not on the Baseline
2018 GPRA Permit Baseline: Not on the Baseline
Sub-Part K Indicator: Not reported
Hazardous Secondary Material Indicator: N
Federal Facility Indicator: Not reported
Active Site State-Reg Handler: ---
Federal Universal Waste: No
Universal Waste Destination Facility: No
Universal Waste Indicator: No
Off-Site Waste Receipt: No
Underground Injection Control: No
Smelting Melting and Refining Furnace Exemption: No
Small Quantity On-Site Burner Exemption: No
Recycler Activity with Storage: No
Transfer Facility Activity: No
Transporter Activity: No
Mixed Waste Generator: No
Importer Activity: No
Short-Term Generator Activity: No
Operator Type: Other
Operator Name: Victor Fernandez
Owner Type: Other
Owner Name: Preg Emerson, Llc
Mailing City,State,Zip: SAN MATEO, CA 94403
Mailing Address: 1900 S. NORFOLK STREET
State District: Not reported
State District Owner: Not reported
Active Site Indicator: Not reported
Accessibility: Not reported
Biennial Report Cycle: Not reported
Non-Notifier: Not reported
Federal Waste Generator Description: Not a generator, verified GARDENS APARTMENTS (Continued) 1026488948
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Elevation Site Database(s) EPA ID Number
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20210707
Shipped Date: 20210701
Last Updated Date: 20210714
Manifest Tracking Number: 022854148JJK
E MANIFEST:

Evaluations: No Evaluations Found
Evaluation Action Summary:

Violations: No Violations Found
Facility Has Received Notices of Violations:

NAICS Description: Lessors Of Residential Buildings And Dwellings NAICS Code: 53111
List of NAICS Codes and Descriptions:

Electronic Manifest Broker: No
Non Storage Recycler Activity: No
Current Record: Yes
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Not a generator, verified Handler Name: GARDENS APARTMENTS
Receive Date: 20210712
Historic Generators:

Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 650-931-3400
Owner/Operator City,State,Zip: SAN MATEO, CA 94403
Owner/Operator Address: 1900 S. NORFOLK STREET
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: VICTOR FERNANDEZ
Owner/Operator Indicator: Operator
Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 650-931-3400
Owner/Operator City,State,Zip: SAN MATEO, CA 94403
Owner/Operator Address: 1900 S. NORFOLK STREET
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: PREG EMERSON, LLC
GARDENS APARTMENTS (Continued) 1026488948
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Designated Facility EPA ID: CAL000190080
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94403
Generator Mail City: SAN MATEO
Generator Mail Street 2: 150
Generator Mail Street 1: 1900 S. NORFOLK STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVE
Generator Location Street Number: Not reported
Generator Name: Gardens Apartments
Generator EPA ID: CAC003113376
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20210707
Shipped Date: 20210701
Last Updated Date: 20210714
Manifest Tracking Number: 022854148JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95366
Designated Facility Location City: MANTECA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: SOUTH AUSTIN ROAD Designated Facility Location Street Number: 9999
Designated Facility Mail State: CA
Designated Facility Mail Zip: 95336
Designated Facility Mail City: MANTECA
Designated Facility Mail Street 2: SOUTH AUSTIN ROAD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 9999
Designated Facility Name: Forward Landfill Inc Disposal Designated Facility EPA ID: CAL000190080
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94403
Generator Mail City: SAN MATEO
Generator Mail Street 2: 150
Generator Mail Street 1: 1900 S. NORFOLK STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVE
Generator Location Street Number: Not reported
Generator Name: Gardens Apartments
Generator EPA ID: CAC003113376
Origin Type: Web
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Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95366
Designated Facility Location City: MANTECA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: SOUTH AUSTIN ROAD Designated Facility Location Street Number: 9999
Designated Facility Mail State: CA
Designated Facility Mail Zip: 95336
Designated Facility Mail City: MANTECA
Designated Facility Mail Street 2: SOUTH AUSTIN ROAD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 9999
Designated Facility Name: Forward Landfill Inc Disposal Designated Facility EPA ID: CAL000190080
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94403
Generator Mail City: SAN MATEO
Generator Mail Street 2: 150
Generator Mail Street 1: 1900 S. NORFOLK STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVE
Generator Location Street Number: Not reported
Generator Name: Gardens Apartments
Generator EPA ID: CAC003113376
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20210707
Shipped Date: 20210701
Last Updated Date: 20210714
Manifest Tracking Number: 022854148JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95366
Designated Facility Location City: MANTECA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: SOUTH AUSTIN ROAD Designated Facility Location Street Number: 9999
Designated Facility Mail State: CA
Designated Facility Mail Zip: 95336
Designated Facility Mail City: MANTECA
Designated Facility Mail Street 2: SOUTH AUSTIN ROAD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 9999
Designated Facility Name: Forward Landfill Inc Disposal GARDENS APARTMENTS (Continued) 1026488948
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Generator Mail Street 1: 1900 S. NORFOLK STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVE
Generator Location Street Number: Not reported
Generator Name: Gardens Apartments
Generator EPA ID: CAC003128766
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20210720
Shipped Date: 20210709
Last Updated Date: 20210728
Manifest Tracking Number: 022854180JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95366
Designated Facility Location City: MANTECA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: SOUTH AUSTIN ROAD Designated Facility Location Street Number: 9999
Designated Facility Mail State: CA
Designated Facility Mail Zip: 95336
Designated Facility Mail City: MANTECA
Designated Facility Mail Street 2: SOUTH AUSTIN ROAD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 9999
Designated Facility Name: Forward Landfill Inc Disposal Designated Facility EPA ID: CAL000190080
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94403
Generator Mail City: SAN MATEO
Generator Mail Street 2: 150
Generator Mail Street 1: 1900 S. NORFOLK STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVE
Generator Location Street Number: Not reported
Generator Name: Gardens Apartments
Generator EPA ID: CAC003128766
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20210720
Shipped Date: 20210709
Last Updated Date: 20210728
Manifest Tracking Number: 022854180JJK
GARDENS APARTMENTS (Continued) 1026488948
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Designated Facility Location City: MANTECA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: SOUTH AUSTIN ROAD Designated Facility Location Street Number: 9999
Designated Facility Mail State: CA
Designated Facility Mail Zip: 95336
Designated Facility Mail City: MANTECA
Designated Facility Mail Street 2: SOUTH AUSTIN ROAD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 9999
Designated Facility Name: Forward Landfill Inc Disposal Designated Facility EPA ID: CAL000190080
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94403
Generator Mail City: SAN MATEO
Generator Mail Street 2: 150
Generator Mail Street 1: 1900 S. NORFOLK STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVE
Generator Location Street Number: Not reported
Generator Name: Gardens Apartments
Generator EPA ID: CAC003128766
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20210720
Shipped Date: 20210709
Last Updated Date: 20210728
Manifest Tracking Number: 022854180JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95366
Designated Facility Location City: MANTECA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: SOUTH AUSTIN ROAD Designated Facility Location Street Number: 9999
Designated Facility Mail State: CA
Designated Facility Mail Zip: 95336
Designated Facility Mail City: MANTECA
Designated Facility Mail Street 2: SOUTH AUSTIN ROAD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 9999
Designated Facility Name: Forward Landfill Inc Disposal Designated Facility EPA ID: CAL000190080
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94403
Generator Mail City: SAN MATEO
Generator Mail Street 2: 150
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Generator Location Street 1: 10200 MILLER AVE
Generator Location Street Number: Not reported
Generator Name: Gardens Apartments
Generator EPA ID: CAC003128766
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20210914
Shipped Date: 20210907
Last Updated Date: 20210920
Manifest Tracking Number: 022854271JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95366
Designated Facility Location City: MANTECA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: SOUTH AUSTIN ROAD Designated Facility Location Street Number: 9999
Designated Facility Mail State: CA
Designated Facility Mail Zip: 95336
Designated Facility Mail City: MANTECA
Designated Facility Mail Street 2: SOUTH AUSTIN ROAD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 9999
Designated Facility Name: Forward Landfill Inc Disposal Designated Facility EPA ID: CAL000190080
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94403
Generator Mail City: SAN MATEO
Generator Mail Street 2: 150
Generator Mail Street 1: 1900 S. NORFOLK STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVE
Generator Location Street Number: Not reported
Generator Name: Gardens Apartments
Generator EPA ID: CAC003128766
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20210914
Shipped Date: 20210907
Last Updated Date: 20210920
Manifest Tracking Number: 022854271JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95366
GARDENS APARTMENTS (Continued) 1026488948
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Designated Facility Mail City: MANTECA
Designated Facility Mail Street 2: SOUTH AUSTIN ROAD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 9999
Designated Facility Name: Forward Landfill Inc Disposal Designated Facility EPA ID: CAL000190080
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94403
Generator Mail City: SAN MATEO
Generator Mail Street 2: 150
Generator Mail Street 1: 1900 S. NORFOLK STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVE
Generator Location Street Number: Not reported
Generator Name: Gardens Apartments
Generator EPA ID: CAC003128766
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20210914
Shipped Date: 20210907
Last Updated Date: 20210920
Manifest Tracking Number: 022854271JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95366
Designated Facility Location City: MANTECA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: SOUTH AUSTIN ROAD Designated Facility Location Street Number: 9999
Designated Facility Mail State: CA
Designated Facility Mail Zip: 95336
Designated Facility Mail City: MANTECA
Designated Facility Mail Street 2: SOUTH AUSTIN ROAD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 9999
Designated Facility Name: Forward Landfill Inc Disposal Designated Facility EPA ID: CAL000190080
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94403
Generator Mail City: SAN MATEO
Generator Mail Street 2: 150
Generator Mail Street 1: 1900 S. NORFOLK STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
GARDENS APARTMENTS (Continued) 1026488948
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Manifest Status: Signed
Received Date: 20210916
Shipped Date: 20210914
Last Updated Date: 20210922
Manifest Tracking Number: 022854285JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95366
Designated Facility Location City: MANTECA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: SOUTH AUSTIN ROAD Designated Facility Location Street Number: 9999
Designated Facility Mail State: CA
Designated Facility Mail Zip: 95336
Designated Facility Mail City: MANTECA
Designated Facility Mail Street 2: SOUTH AUSTIN ROAD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 9999
Designated Facility Name: Forward Landfill Inc Disposal Designated Facility EPA ID: CAL000190080
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94403
Generator Mail City: SAN MATEO
Generator Mail Street 2: 150
Generator Mail Street 1: 1900 S. NORFOLK STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVE
Generator Location Street Number: Not reported
Generator Name: Gardens Apartments
Generator EPA ID: CAC003128766
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20210916
Shipped Date: 20210914
Last Updated Date: 20210922
Manifest Tracking Number: 022854285JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95366
Designated Facility Location City: MANTECA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: SOUTH AUSTIN ROAD Designated Facility Location Street Number: 9999
Designated Facility Mail State: CA
Designated Facility Mail Zip: 95336
GARDENS APARTMENTS (Continued) 1026488948
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Container Type Description: Burlap, cloth, paper, or plastic bags Container Type Code: BA
Number of Containers: 45
Non-Hazardous Waste Description: Not reported
U.S. DOT Description: Rq, Na2212, Asbestos 9, Pgiii
U.S. DOT ID Number: NA2212
U.S. DOT Hazardous Indicator: Y
Waste Line Number: 1
Manifest Tracking Number: 022854285JJK
Waste Line:

Transporter Name: E C T I
Transporter EPA ID: CAR000049064
Transporter Line Number: 2
Manifest Tracking Number: 022854285JJK
Transporter Name: Ati Restoration Llc
Transporter EPA ID: CAL000374063
Transporter Line Number: 1
Manifest Tracking Number: 022854285JJK
Transporter:

Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95366
Designated Facility Location City: MANTECA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: SOUTH AUSTIN ROAD Designated Facility Location Street Number: 9999
Designated Facility Mail State: CA
Designated Facility Mail Zip: 95336
Designated Facility Mail City: MANTECA
Designated Facility Mail Street 2: SOUTH AUSTIN ROAD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 9999
Designated Facility Name: Forward Landfill Inc Disposal Designated Facility EPA ID: CAL000190080
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94403
Generator Mail City: SAN MATEO
Generator Mail Street 2: 150
Generator Mail Street 1: 1900 S. NORFOLK STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVE
Generator Location Street Number: Not reported
Generator Name: Gardens Apartments
Generator EPA ID: CAC003128766
Origin Type: Web
Submission Type: DataImage5Copy
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29 additional US EManifest: record(s) in the EDR Site Report.

Click this hyperlink while viewing on your computer to access State Waste Codes: CA-151
Quantity Non Haz Tons: 2.52
Quantity Non Haz Kg: 2285.7156
Quantity Haz Tons: 0
Quantity Haz Kg: 0
Federal Waste Codes: Not reported
EPA Waste Indicator: N
Consent Number: Not reported
Waste Minimization Code Description: Not reported
Waste Minimization Code: Not reported
Source Code Description: Not reported
Source Code: Not reported
Form Code Description: Not reported
Form Code: Not reported
Waste Density Unit of Measure Description: Not reported Waste Density Unit of Measure Code: Not reported
Waste Density: Not reported
Waste Type Discrepancy Indicator: N
Quantity Discrepancy Indicator: N
Waste Residue Indicator: N
Management Method Description: LANDFILL (WITH PRIOR TREATMENT AND/OR STABILIZATION) Management Method Code: H132
Non-Acute Waste Quantity, in Kilorgrams: 2285.7156
Acute Waste Quantity, in Kilograms: 0
Waste Quantity, in Kilograms: 2285.7156
Non-Acute Waste Quantity, in Tons: 2.52
Acute Waste Quantity, in Tons: 0
Waste Quantity, in Tons: 2.52
Quantity Unit of Measure Description: Cubic Yards
Quantity Unit of Measure Code: Y
Waste Quantity: 3
GARDENS APARTMENTS (Continued) 1026488948
Non-Notifier: Not reported
Federal Waste Generator Description: Not a generator, verified Land Type: Not reported
EPA Region: 09
Contact Title: Not reported
Contact Email: [email protected]
Contact Fax: Not reported
Contact Telephone: 650-931-3400
Contact City,State,Zip: SAN MATEO, CA 94401
Contact Address: 1 NORTH B STREET
Contact Name: KYLE GUESTIN
EPA ID: CAC003319977
Handler City,State,Zip: CUPERTINO, CA 95014
Handler Address: 10200 Miller Ave.

Handler Name: Sontar Apartments
Date Form Received by Agency: 20250102
RCRA Listings:
953 ft. Site 5 of 9 in cluster L

0.180 mi.

Relative:

Higher
Actual:
204 ft.
1/8-1/4 CUPERTINO, CA 95014
SSE 10200 MILLER AVE. CAC003319977
L87 SONTAR APARTMENTS RCRA NonGen / NLR 1031476210
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Legal Status: Other
Owner/Operator Name: PREG EMERSON, LLC
Owner/Operator Indicator: Owner
Handler - Owner Operator:

Sub-Part P Indicator: No
Manifest Broker: No
Recycler Activity Without Storage: No
Exporter of Spent Lead Acid Batteries: No
Importer of Spent Lead Acid Batteries: No
Recognized Trader-Exporter: No
Recognized Trader-Importer: No
Handler Date of Last Change: 20250103
Financial Assurance Required: Not reported
Significant Non-Complier With a Compliance Schedule Universe: No Addressed Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Significant Non-Complier Universe: No
Groundwater Controls Indicator: N/A
Human Exposure Controls Indicator: N/A
Institutional Control Indicator: No
Environmental Control Indicator: No
Corrective Action Priority Ranking: No NCAPS ranking
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Subject to Corrective Action Universe: No
202 GPRA Corrective Action Baseline: No
2018 GPRA Renewals Baseline: Not on the Baseline
2018 GPRA Permit Baseline: Not on the Baseline
Sub-Part K Indicator: Not reported
Hazardous Secondary Material Indicator: N
Federal Facility Indicator: Not reported
Active Site State-Reg Handler: ---
Federal Universal Waste: No
Universal Waste Destination Facility: No
Universal Waste Indicator: No
Off-Site Waste Receipt: No
Underground Injection Control: No
Smelting Melting and Refining Furnace Exemption: No
Small Quantity On-Site Burner Exemption: No
Recycler Activity with Storage: No
Transfer Facility Activity: No
Transporter Activity: No
Mixed Waste Generator: No
Importer Activity: No
Short-Term Generator Activity: No
Operator Type: Other
Operator Name: Kyle Guestin
Owner Type: Other
Owner Name: Preg Emerson, Llc
Mailing City,State,Zip: SAN MATEO, CA 94401
Mailing Address: 1 NORTH B STREET
State District: Not reported
State District Owner: Not reported
Active Site Indicator: Not reported
Accessibility: Not reported
Biennial Report Cycle: Not reported
SONTAR APARTMENTS (Continued) 1031476210
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Evaluations: No Evaluations Found
Evaluation Action Summary:

Violations: No Violations Found
Facility Has Received Notices of Violations:

NAICS Description: Lessors Of Residential Buildings And Dwellings NAICS Code: 531110
List of NAICS Codes and Descriptions:

Electronic Manifest Broker: No
Non Storage Recycler Activity: No
Current Record: Yes
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Not a generator, verified Handler Name: SONTAR APARTMENTS
Receive Date: 20250102
Historic Generators:

Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 650-931-3400
Owner/Operator City,State,Zip: SAN MATEO, CA 94401
Owner/Operator Address: 1 NORTH B STREET
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: KYLE GUESTIN
Owner/Operator Indicator: Operator
Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 650-931-3400
Owner/Operator City,State,Zip: SAN MATEO, CA 94401
Owner/Operator Address: 1 NORTH B STREET
Date Ended Current: Not reported
Date Became Current: Not reported
SONTAR APARTMENTS (Continued) 1031476210
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Institutional Control Indicator: No
Environmental Control Indicator: No
Corrective Action Priority Ranking: No NCAPS ranking
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Subject to Corrective Action Universe: No
202 GPRA Corrective Action Baseline: No
2018 GPRA Renewals Baseline: Not on the Baseline
2018 GPRA Permit Baseline: Not on the Baseline
Sub-Part K Indicator: Not reported
Hazardous Secondary Material Indicator: N
Federal Facility Indicator: Not reported
Active Site State-Reg Handler: ---
Federal Universal Waste: No
Universal Waste Destination Facility: No
Universal Waste Indicator: No
Off-Site Waste Receipt: No
Underground Injection Control: No
Smelting Melting and Refining Furnace Exemption: No
Small Quantity On-Site Burner Exemption: No
Recycler Activity with Storage: No
Transfer Facility Activity: No
Transporter Activity: No
Mixed Waste Generator: No
Importer Activity: No
Short-Term Generator Activity: No
Operator Type: Other
Operator Name: Victor Fernandez
Owner Type: Other
Owner Name: Preg Emerson, Llc
Mailing City,State,Zip: SAN MATEO, CA 94403
Mailing Address: 1900 S. NORFOLK STREET
State District: Not reported
State District Owner: Not reported
Active Site Indicator: Not reported
Accessibility: Not reported
Biennial Report Cycle: Not reported
Non-Notifier: Not reported
Federal Waste Generator Description: Not a generator, verified Land Type: Not reported
EPA Region: 09
Contact Title: Not reported
Contact Email: [email protected]
Contact Fax: Not reported
Contact Telephone: 650-931-3400
Contact City,State,Zip: SAN MATEO, CA 94403
Contact Address: 1900 S. NORFOLK STREET
Contact Name: VICTOR FERNANDEZ
EPA ID: CAC003144194
Handler City,State,Zip: CUPERTINO, CA 95014
Handler Address: 10200 Miller Ave
Handler Name: Gardens
Date Form Received by Agency: 20211019
RCRA Listings:
953 ft. Site 6 of 9 in cluster L

0.180 mi.

Relative:

Higher
Actual:
204 ft.
1/8-1/4 CUPERTINO, CA 95014
SSE 10200 MILLER AVE E MANIFEST CAC003144194
L88 GARDENS RCRA NonGen / NLR 1027072607
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Electronic Manifest Broker: No
Non Storage Recycler Activity: No
Current Record: Yes
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Not a generator, verified Handler Name: GARDENS
Receive Date: 20211019
Historic Generators:

Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 650-931-3400
Owner/Operator City,State,Zip: SAN MATEO, CA 94403
Owner/Operator Address: 1900 S. NORFOLK STREET
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: PREG EMERSON, LLC
Owner/Operator Indicator: Owner
Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 650-931-3400
Owner/Operator City,State,Zip: SAN MATEO, CA 94403
Owner/Operator Address: 1900 S. NORFOLK STREET
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: VICTOR FERNANDEZ
Owner/Operator Indicator: Operator
Handler - Owner Operator:

Sub-Part P Indicator: No
Manifest Broker: No
Recycler Activity Without Storage: No
Exporter of Spent Lead Acid Batteries: No
Importer of Spent Lead Acid Batteries: No
Recognized Trader-Exporter: No
Recognized Trader-Importer: No
Handler Date of Last Change: 20211019
Financial Assurance Required: Not reported
Significant Non-Complier With a Compliance Schedule Universe: No Addressed Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Significant Non-Complier Universe: No
Groundwater Controls Indicator: N/A
Human Exposure Controls Indicator: N/A
GARDENS (Continued) 1027072607
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Shipped Date: 20220125
Last Updated Date: 20220215
Manifest Tracking Number: 022434527JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95366
Designated Facility Location City: MANTECA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: SOUTH AUSTIN ROAD Designated Facility Location Street Number: 9999
Designated Facility Mail State: CA
Designated Facility Mail Zip: 95336
Designated Facility Mail City: MANTECA
Designated Facility Mail Street 2: SOUTH AUSTIN ROAD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 9999
Designated Facility Name: Forward Landfill Inc Disposal Designated Facility EPA ID: CAL000190080
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94403
Generator Mail City: SAN MATEO
Generator Mail Street 2: SUITE 150
Generator Mail Street 1: 1900 S. NORFOLK STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVE
Generator Location Street Number: Not reported
Generator Name: Gardens
Generator EPA ID: CAC003157856
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20220210
Shipped Date: 20220124
Last Updated Date: 20220215
Manifest Tracking Number: 022434524JJK
E MANIFEST:

Evaluations: No Evaluations Found
Evaluation Action Summary:

Violations: No Violations Found
Facility Has Received Notices of Violations:

NAICS Description: Lessors Of Residential Buildings And Dwellings NAICS Code: 53111
List of NAICS Codes and Descriptions:

GARDENS (Continued) 1027072607
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Generator Mail Zip: 94403
Generator Mail City: SAN MATEO
Generator Mail Street 2: SUITE 150
Generator Mail Street 1: 1900 S. NORFOLK STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVE
Generator Location Street Number: Not reported
Generator Name: Gardens
Generator EPA ID: CAC003157856
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20220303
Shipped Date: 20220217
Last Updated Date: 20220308
Manifest Tracking Number: 022434544JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95366
Designated Facility Location City: MANTECA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: SOUTH AUSTIN ROAD Designated Facility Location Street Number: 9999
Designated Facility Mail State: CA
Designated Facility Mail Zip: 95336
Designated Facility Mail City: MANTECA
Designated Facility Mail Street 2: SOUTH AUSTIN ROAD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 9999
Designated Facility Name: Forward Landfill Inc Disposal Designated Facility EPA ID: CAL000190080
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94403
Generator Mail City: SAN MATEO
Generator Mail Street 2: SUITE 150
Generator Mail Street 1: 1900 S. NORFOLK STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVE
Generator Location Street Number: Not reported
Generator Name: Gardens
Generator EPA ID: CAC003157856
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20220210
GARDENS (Continued) 1027072607
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Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95366
Designated Facility Location City: MANTECA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: SOUTH AUSTIN ROAD Designated Facility Location Street Number: 9999
Designated Facility Mail State: CA
Designated Facility Mail Zip: 95336
Designated Facility Mail City: MANTECA
Designated Facility Mail Street 2: SOUTH AUSTIN ROAD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 9999
Designated Facility Name: Forward Landfill Inc Disposal Designated Facility EPA ID: CAL000190080
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94403
Generator Mail City: SAN MATEO
Generator Mail Street 2: SUITE 150
Generator Mail Street 1: 1900 S. NORFOLK STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVE
Generator Location Street Number: Not reported
Generator Name: Gardens
Generator EPA ID: CAC003157856
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20220425
Shipped Date: 20220403
Last Updated Date: 20220503
Manifest Tracking Number: 022434637JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95366
Designated Facility Location City: MANTECA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: SOUTH AUSTIN ROAD Designated Facility Location Street Number: 9999
Designated Facility Mail State: CA
Designated Facility Mail Zip: 95336
Designated Facility Mail City: MANTECA
Designated Facility Mail Street 2: SOUTH AUSTIN ROAD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 9999
Designated Facility Name: Forward Landfill Inc Disposal Designated Facility EPA ID: CAL000190080
Generator Contact Company Name: Not reported
Generator Mail State: CA
GARDENS (Continued) 1027072607
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Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVE
Generator Location Street Number: Not reported
Generator Name: Gardens
Generator EPA ID: CAC003173292
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20220505
Shipped Date: 20220503
Last Updated Date: 20220509
Manifest Tracking Number: 022434713JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95366
Designated Facility Location City: MANTECA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: SOUTH AUSTIN ROAD Designated Facility Location Street Number: 9999
Designated Facility Mail State: CA
Designated Facility Mail Zip: 95336
Designated Facility Mail City: MANTECA
Designated Facility Mail Street 2: SOUTH AUSTIN ROAD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 9999
Designated Facility Name: Forward Landfill Inc Disposal Designated Facility EPA ID: CAL000190080
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94403
Generator Mail City: SAN MATEO
Generator Mail Street 2: SUITE 150
Generator Mail Street 1: 1900 S. NORFOLK STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVE
Generator Location Street Number: Not reported
Generator Name: Gardens
Generator EPA ID: CAC003157856
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20220405
Shipped Date: 20220328
Last Updated Date: 20220426
Manifest Tracking Number: 022434642JJK
Rejection Indicator: N
Manifest Residue Indicator: N
GARDENS (Continued) 1027072607
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Designated Facility Location Street Number: 9999
Designated Facility Mail State: CA
Designated Facility Mail Zip: 95336
Designated Facility Mail City: MANTECA
Designated Facility Mail Street 2: SOUTH AUSTIN ROAD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 9999
Designated Facility Name: Forward Landfill Inc Disposal Designated Facility EPA ID: CAL000190080
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94403
Generator Mail City: SAN MATEO
Generator Mail Street 2: SUITE 150
Generator Mail Street 1: 1900 S. NORFOLK STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVE
Generator Location Street Number: Not reported
Generator Name: Gardens
Generator EPA ID: CAC003173292
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20220525
Shipped Date: 20220523
Last Updated Date: 20220602
Manifest Tracking Number: 022434722JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95366
Designated Facility Location City: MANTECA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: SOUTH AUSTIN ROAD Designated Facility Location Street Number: 9999
Designated Facility Mail State: CA
Designated Facility Mail Zip: 95336
Designated Facility Mail City: MANTECA
Designated Facility Mail Street 2: SOUTH AUSTIN ROAD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 9999
Designated Facility Name: Forward Landfill Inc Disposal Designated Facility EPA ID: CAL000190080
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94403
Generator Mail City: SAN MATEO
Generator Mail Street 2: SUITE 150
Generator Mail Street 1: 1900 S. NORFOLK STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
GARDENS (Continued) 1027072607
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Generator EPA ID: CAC003173292
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20220611
Shipped Date: 20220606
Last Updated Date: 20220615
Manifest Tracking Number: 022434751JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95366
Designated Facility Location City: MANTECA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: SOUTH AUSTIN ROAD Designated Facility Location Street Number: 9999
Designated Facility Mail State: CA
Designated Facility Mail Zip: 95336
Designated Facility Mail City: MANTECA
Designated Facility Mail Street 2: SOUTH AUSTIN ROAD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 9999
Designated Facility Name: Forward Landfill Inc Disposal Designated Facility EPA ID: CAL000190080
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94403
Generator Mail City: SAN MATEO
Generator Mail Street 2: SUITE 150
Generator Mail Street 1: 1900 S. NORFOLK STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVE
Generator Location Street Number: Not reported
Generator Name: Gardens
Generator EPA ID: CAC003173292
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20220525
Shipped Date: 20220520
Last Updated Date: 20220601
Manifest Tracking Number: 022434740JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95366
Designated Facility Location City: MANTECA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: SOUTH AUSTIN ROAD GARDENS (Continued) 1027072607
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Designated Facility Mail Street Number: 9999
Designated Facility Name: Forward Landfill Inc Disposal Designated Facility EPA ID: CAL000190080
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94403
Generator Mail City: SAN MATEO
Generator Mail Street 2: SUITE 150
Generator Mail Street 1: 1900 S. NORFOLK STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVE
Generator Location Street Number: Not reported
Generator Name: Gardens
Generator EPA ID: CAC003173292
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20220616
Shipped Date: 20220608
Last Updated Date: 20220621
Manifest Tracking Number: 022434772JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95366
Designated Facility Location City: MANTECA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: SOUTH AUSTIN ROAD Designated Facility Location Street Number: 9999
Designated Facility Mail State: CA
Designated Facility Mail Zip: 95336
Designated Facility Mail City: MANTECA
Designated Facility Mail Street 2: SOUTH AUSTIN ROAD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 9999
Designated Facility Name: Forward Landfill Inc Disposal Designated Facility EPA ID: CAL000190080
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94403
Generator Mail City: SAN MATEO
Generator Mail Street 2: SUITE 150
Generator Mail Street 1: 1900 S. NORFOLK STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVE
Generator Location Street Number: Not reported
Generator Name: Gardens
GARDENS (Continued) 1027072607
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Manifest Tracking Number: 022434830JJK
Transporter:

Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95366
Designated Facility Location City: MANTECA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: SOUTH AUSTIN ROAD Designated Facility Location Street Number: 9999
Designated Facility Mail State: CA
Designated Facility Mail Zip: 95336
Designated Facility Mail City: MANTECA
Designated Facility Mail Street 2: SOUTH AUSTIN ROAD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 9999
Designated Facility Name: Forward Landfill Inc Disposal Designated Facility EPA ID: CAL000190080
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94403
Generator Mail City: SAN MATEO
Generator Mail Street 2: SUITE 150
Generator Mail Street 1: 1900 S. NORFOLK STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVE
Generator Location Street Number: Not reported
Generator Name: Gardens
Generator EPA ID: CAC003173292
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20220705
Shipped Date: 20220627
Last Updated Date: 20220707
Manifest Tracking Number: 022434792JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95366
Designated Facility Location City: MANTECA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: SOUTH AUSTIN ROAD Designated Facility Location Street Number: 9999
Designated Facility Mail State: CA
Designated Facility Mail Zip: 95336
Designated Facility Mail City: MANTECA
Designated Facility Mail Street 2: SOUTH AUSTIN ROAD
Designated Facility Mail Street 1: Not reported
GARDENS (Continued) 1027072607
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14 additional US EManifest: record(s) in the EDR Site Report.

Click this hyperlink while viewing on your computer to access State Waste Codes: CA-151
Quantity Non Haz Tons: 9.24
Quantity Non Haz Kg: 8380.957
Quantity Haz Tons: 0
Quantity Haz Kg: 0
Federal Waste Codes: Not reported
EPA Waste Indicator: N
Consent Number: Not reported
Waste Minimization Code Description: Not reported
Waste Minimization Code: Not reported
Source Code Description: Not reported
Source Code: Not reported
Form Code Description: Not reported
Form Code: Not reported
Waste Density Unit of Measure Description: Not reported Waste Density Unit of Measure Code: Not reported
Waste Density: Not reported
Waste Type Discrepancy Indicator: N
Quantity Discrepancy Indicator: N
Waste Residue Indicator: N
Management Method Description: LANDFILL (WITH PRIOR TREATMENT AND/OR STABILIZATION) Management Method Code: H132
Non-Acute Waste Quantity, in Kilorgrams: 8380.957
Acute Waste Quantity, in Kilograms: 0
Waste Quantity, in Kilograms: 8380.957
Non-Acute Waste Quantity, in Tons: 9.24
Acute Waste Quantity, in Tons: 0
Waste Quantity, in Tons: 9.24
Quantity Unit of Measure Description: Cubic Yards
Quantity Unit of Measure Code: Y
Waste Quantity: 11
Container Type Description: Burlap, cloth, paper, or plastic bags Container Type Code: BA
Number of Containers: 260
Non-Hazardous Waste Description: Not reported
U.S. DOT Description: Rq,Na2212,Asbestos 9, Pgiii
U.S. DOT ID Number: NA2212
U.S. DOT Hazardous Indicator: Y
Waste Line Number: 1
Manifest Tracking Number: 022434830JJK
Waste Line:

Transporter Name: E C T I
Transporter EPA ID: CAR000049064
Transporter Line Number: 2
Manifest Tracking Number: 022434830JJK
Transporter Name: Ati Restoration Llc
Transporter EPA ID: CAL000374063
Transporter Line Number: 1
GARDENS (Continued) 1027072607
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Institutional Control Indicator: No
Environmental Control Indicator: No
Corrective Action Priority Ranking: No NCAPS ranking
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Subject to Corrective Action Universe: No
202 GPRA Corrective Action Baseline: No
2018 GPRA Renewals Baseline: Not on the Baseline
2018 GPRA Permit Baseline: Not on the Baseline
Sub-Part K Indicator: Not reported
Hazardous Secondary Material Indicator: N
Federal Facility Indicator: Not reported
Active Site State-Reg Handler: ---
Federal Universal Waste: No
Universal Waste Destination Facility: No
Universal Waste Indicator: No
Off-Site Waste Receipt: No
Underground Injection Control: No
Smelting Melting and Refining Furnace Exemption: No
Small Quantity On-Site Burner Exemption: No
Recycler Activity with Storage: No
Transfer Facility Activity: No
Transporter Activity: No
Mixed Waste Generator: No
Importer Activity: No
Short-Term Generator Activity: No
Operator Type: Other
Operator Name: Victor Fernandez
Owner Type: Other
Owner Name: Preg Emerson, Llc
Mailing City,State,Zip: SAN MATEO, CA 94403
Mailing Address: 1900 S. NORFOLK STREET
State District: Not reported
State District Owner: Not reported
Active Site Indicator: Not reported
Accessibility: Not reported
Biennial Report Cycle: Not reported
Non-Notifier: Not reported
Federal Waste Generator Description: Not a generator, verified Land Type: Not reported
EPA Region: 09
Contact Title: Not reported
Contact Email: [email protected]
Contact Fax: Not reported
Contact Telephone: 650-931-3400
Contact City,State,Zip: SAN MATEO, CA 94403
Contact Address: 1900 S. NORFOLK STREET
Contact Name: VICTOR FERNANDEZ
EPA ID: CAC003173292
Handler City,State,Zip: CUPERTINO, CA 95014
Handler Address: 10200 Miller Ave
Handler Name: Gardens
Date Form Received by Agency: 20220427
RCRA Listings:
953 ft. Site 7 of 9 in cluster L

0.180 mi.

Relative:

Higher
Actual:
204 ft.
1/8-1/4 CUPERTINO, CA 95014
SSE 10200 MILLER AVE E MANIFEST CAC003237700
L89 GARDENS RCRA NonGen / NLR 1027085577
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Electronic Manifest Broker: No
Non Storage Recycler Activity: No
Current Record: Yes
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Not a generator, verified Handler Name: GARDENS
Receive Date: 20220427
Historic Generators:

Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 650-931-3400
Owner/Operator City,State,Zip: SAN MATEO, CA 94403
Owner/Operator Address: 1900 S. NORFOLK STREET
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: PREG EMERSON, LLC
Owner/Operator Indicator: Owner
Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 650-931-3400
Owner/Operator City,State,Zip: SAN MATEO, CA 94403
Owner/Operator Address: 1900 S. NORFOLK STREET
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: VICTOR FERNANDEZ
Owner/Operator Indicator: Operator
Handler - Owner Operator:

Sub-Part P Indicator: No
Manifest Broker: No
Recycler Activity Without Storage: No
Exporter of Spent Lead Acid Batteries: No
Importer of Spent Lead Acid Batteries: No
Recognized Trader-Exporter: No
Recognized Trader-Importer: No
Handler Date of Last Change: 20220428
Financial Assurance Required: Not reported
Significant Non-Complier With a Compliance Schedule Universe: No Addressed Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Significant Non-Complier Universe: No
Groundwater Controls Indicator: N/A
Human Exposure Controls Indicator: N/A
GARDENS (Continued) 1027085577
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Shipped Date: 20220124
Last Updated Date: 20220215
Manifest Tracking Number: 022434524JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95366
Designated Facility Location City: MANTECA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: SOUTH AUSTIN ROAD Designated Facility Location Street Number: 9999
Designated Facility Mail State: CA
Designated Facility Mail Zip: 95336
Designated Facility Mail City: MANTECA
Designated Facility Mail Street 2: SOUTH AUSTIN ROAD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 9999
Designated Facility Name: Forward Landfill Inc Disposal Designated Facility EPA ID: CAL000190080
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94403
Generator Mail City: SAN MATEO
Generator Mail Street 2: SUITE 150
Generator Mail Street 1: 1900 S. NORFOLK STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVE
Generator Location Street Number: Not reported
Generator Name: Gardens
Generator EPA ID: CAC003157856
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20220210
Shipped Date: 20220124
Last Updated Date: 20220215
Manifest Tracking Number: 022434524JJK
E MANIFEST:

Evaluations: No Evaluations Found
Evaluation Action Summary:

Violations: No Violations Found
Facility Has Received Notices of Violations:

NAICS Description: Lessors Of Residential Buildings And Dwellings NAICS Code: 53111
List of NAICS Codes and Descriptions:

GARDENS (Continued) 1027085577
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Generator Mail Zip: 94403
Generator Mail City: SAN MATEO
Generator Mail Street 2: SUITE 150
Generator Mail Street 1: 1900 S. NORFOLK STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVE
Generator Location Street Number: Not reported
Generator Name: Gardens
Generator EPA ID: CAC003157856
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20220210
Shipped Date: 20220124
Last Updated Date: 20220215
Manifest Tracking Number: 022434524JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95366
Designated Facility Location City: MANTECA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: SOUTH AUSTIN ROAD Designated Facility Location Street Number: 9999
Designated Facility Mail State: CA
Designated Facility Mail Zip: 95336
Designated Facility Mail City: MANTECA
Designated Facility Mail Street 2: SOUTH AUSTIN ROAD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 9999
Designated Facility Name: Forward Landfill Inc Disposal Designated Facility EPA ID: CAL000190080
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94403
Generator Mail City: SAN MATEO
Generator Mail Street 2: SUITE 150
Generator Mail Street 1: 1900 S. NORFOLK STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVE
Generator Location Street Number: Not reported
Generator Name: Gardens
Generator EPA ID: CAC003157856
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20220210
GARDENS (Continued) 1027085577
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Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95366
Designated Facility Location City: MANTECA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: SOUTH AUSTIN ROAD Designated Facility Location Street Number: 9999
Designated Facility Mail State: CA
Designated Facility Mail Zip: 95336
Designated Facility Mail City: MANTECA
Designated Facility Mail Street 2: SOUTH AUSTIN ROAD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 9999
Designated Facility Name: Forward Landfill Inc Disposal Designated Facility EPA ID: CAL000190080
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94403
Generator Mail City: SAN MATEO
Generator Mail Street 2: SUITE 150
Generator Mail Street 1: 1900 S. NORFOLK STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVE
Generator Location Street Number: Not reported
Generator Name: Gardens
Generator EPA ID: CAC003157856
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20220210
Shipped Date: 20220125
Last Updated Date: 20220215
Manifest Tracking Number: 022434527JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95366
Designated Facility Location City: MANTECA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: SOUTH AUSTIN ROAD Designated Facility Location Street Number: 9999
Designated Facility Mail State: CA
Designated Facility Mail Zip: 95336
Designated Facility Mail City: MANTECA
Designated Facility Mail Street 2: SOUTH AUSTIN ROAD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 9999
Designated Facility Name: Forward Landfill Inc Disposal Designated Facility EPA ID: CAL000190080
Generator Contact Company Name: Not reported
Generator Mail State: CA
GARDENS (Continued) 1027085577
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Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVE
Generator Location Street Number: Not reported
Generator Name: Gardens
Generator EPA ID: CAC003157856
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20220210
Shipped Date: 20220125
Last Updated Date: 20220215
Manifest Tracking Number: 022434527JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95366
Designated Facility Location City: MANTECA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: SOUTH AUSTIN ROAD Designated Facility Location Street Number: 9999
Designated Facility Mail State: CA
Designated Facility Mail Zip: 95336
Designated Facility Mail City: MANTECA
Designated Facility Mail Street 2: SOUTH AUSTIN ROAD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 9999
Designated Facility Name: Forward Landfill Inc Disposal Designated Facility EPA ID: CAL000190080
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94403
Generator Mail City: SAN MATEO
Generator Mail Street 2: SUITE 150
Generator Mail Street 1: 1900 S. NORFOLK STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVE
Generator Location Street Number: Not reported
Generator Name: Gardens
Generator EPA ID: CAC003157856
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20220210
Shipped Date: 20220125
Last Updated Date: 20220215
Manifest Tracking Number: 022434527JJK
Rejection Indicator: N
Manifest Residue Indicator: N
GARDENS (Continued) 1027085577
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Designated Facility Location Street Number: 9999
Designated Facility Mail State: CA
Designated Facility Mail Zip: 95336
Designated Facility Mail City: MANTECA
Designated Facility Mail Street 2: SOUTH AUSTIN ROAD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 9999
Designated Facility Name: Forward Landfill Inc Disposal Designated Facility EPA ID: CAL000190080
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94403
Generator Mail City: SAN MATEO
Generator Mail Street 2: SUITE 150
Generator Mail Street 1: 1900 S. NORFOLK STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVE
Generator Location Street Number: Not reported
Generator Name: Gardens
Generator EPA ID: CAC003157856
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20220303
Shipped Date: 20220217
Last Updated Date: 20220308
Manifest Tracking Number: 022434544JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95366
Designated Facility Location City: MANTECA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: SOUTH AUSTIN ROAD Designated Facility Location Street Number: 9999
Designated Facility Mail State: CA
Designated Facility Mail Zip: 95336
Designated Facility Mail City: MANTECA
Designated Facility Mail Street 2: SOUTH AUSTIN ROAD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 9999
Designated Facility Name: Forward Landfill Inc Disposal Designated Facility EPA ID: CAL000190080
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94403
Generator Mail City: SAN MATEO
Generator Mail Street 2: SUITE 150
Generator Mail Street 1: 1900 S. NORFOLK STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
GARDENS (Continued) 1027085577
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Generator EPA ID: CAC003157856
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20220303
Shipped Date: 20220217
Last Updated Date: 20220308
Manifest Tracking Number: 022434544JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95366
Designated Facility Location City: MANTECA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: SOUTH AUSTIN ROAD Designated Facility Location Street Number: 9999
Designated Facility Mail State: CA
Designated Facility Mail Zip: 95336
Designated Facility Mail City: MANTECA
Designated Facility Mail Street 2: SOUTH AUSTIN ROAD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 9999
Designated Facility Name: Forward Landfill Inc Disposal Designated Facility EPA ID: CAL000190080
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94403
Generator Mail City: SAN MATEO
Generator Mail Street 2: SUITE 150
Generator Mail Street 1: 1900 S. NORFOLK STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVE
Generator Location Street Number: Not reported
Generator Name: Gardens
Generator EPA ID: CAC003157856
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20220303
Shipped Date: 20220217
Last Updated Date: 20220308
Manifest Tracking Number: 022434544JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95366
Designated Facility Location City: MANTECA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: SOUTH AUSTIN ROAD GARDENS (Continued) 1027085577
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Elevation Site Database(s) EPA ID Number
Designated Facility Mail Street Number: 9999
Designated Facility Name: Forward Landfill Inc Disposal Designated Facility EPA ID: CAL000190080
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94403
Generator Mail City: SAN MATEO
Generator Mail Street 2: SUITE 150
Generator Mail Street 1: 1900 S. NORFOLK STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVE
Generator Location Street Number: Not reported
Generator Name: Gardens
Generator EPA ID: CAC003157856
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20220425
Shipped Date: 20220403
Last Updated Date: 20220503
Manifest Tracking Number: 022434637JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95366
Designated Facility Location City: MANTECA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: SOUTH AUSTIN ROAD Designated Facility Location Street Number: 9999
Designated Facility Mail State: CA
Designated Facility Mail Zip: 95336
Designated Facility Mail City: MANTECA
Designated Facility Mail Street 2: SOUTH AUSTIN ROAD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 9999
Designated Facility Name: Forward Landfill Inc Disposal Designated Facility EPA ID: CAL000190080
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94403
Generator Mail City: SAN MATEO
Generator Mail Street 2: SUITE 150
Generator Mail Street 1: 1900 S. NORFOLK STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVE
Generator Location Street Number: Not reported
Generator Name: Gardens
GARDENS (Continued) 1027085577
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Manifest Tracking Number: 022434637JJK
Transporter:

Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95366
Designated Facility Location City: MANTECA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: SOUTH AUSTIN ROAD Designated Facility Location Street Number: 9999
Designated Facility Mail State: CA
Designated Facility Mail Zip: 95336
Designated Facility Mail City: MANTECA
Designated Facility Mail Street 2: SOUTH AUSTIN ROAD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 9999
Designated Facility Name: Forward Landfill Inc Disposal Designated Facility EPA ID: CAL000190080
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94403
Generator Mail City: SAN MATEO
Generator Mail Street 2: SUITE 150
Generator Mail Street 1: 1900 S. NORFOLK STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVE
Generator Location Street Number: Not reported
Generator Name: Gardens
Generator EPA ID: CAC003157856
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20220425
Shipped Date: 20220403
Last Updated Date: 20220503
Manifest Tracking Number: 022434637JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95366
Designated Facility Location City: MANTECA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: SOUTH AUSTIN ROAD Designated Facility Location Street Number: 9999
Designated Facility Mail State: CA
Designated Facility Mail Zip: 95336
Designated Facility Mail City: MANTECA
Designated Facility Mail Street 2: SOUTH AUSTIN ROAD
Designated Facility Mail Street 1: Not reported
GARDENS (Continued) 1027085577
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100 additional US EManifest: record(s) in the EDR Site Report.

Click this hyperlink while viewing on your computer to access State Waste Codes: CA-151
Quantity Non Haz Tons: 0.84
Quantity Non Haz Kg: 761.9052
Quantity Haz Tons: 0
Quantity Haz Kg: 0
Federal Waste Codes: Not reported
EPA Waste Indicator: N
Consent Number: Not reported
Waste Minimization Code Description: Not reported
Waste Minimization Code: Not reported
Source Code Description: Not reported
Source Code: Not reported
Form Code Description: Not reported
Form Code: Not reported
Waste Density Unit of Measure Description: Not reported Waste Density Unit of Measure Code: Not reported
Waste Density: Not reported
Waste Type Discrepancy Indicator: N
Quantity Discrepancy Indicator: N
Waste Residue Indicator: N
Management Method Description: LANDFILL (WITH PRIOR TREATMENT AND/OR STABILIZATION) Management Method Code: H132
Non-Acute Waste Quantity, in Kilorgrams: 761.9052
Acute Waste Quantity, in Kilograms: 0
Waste Quantity, in Kilograms: 761.9052
Non-Acute Waste Quantity, in Tons: 0.84
Acute Waste Quantity, in Tons: 0
Waste Quantity, in Tons: 0.84
Quantity Unit of Measure Description: Cubic Yards
Quantity Unit of Measure Code: Y
Waste Quantity: 1
Container Type Description: Burlap, cloth, paper, or plastic bags Container Type Code: BA
Number of Containers: 3
Non-Hazardous Waste Description: Not reported
U.S. DOT Description: Rq, Na2212, Asbestos 9, Pg Iii
U.S. DOT ID Number: NA2212
U.S. DOT Hazardous Indicator: Y
Waste Line Number: 1
Manifest Tracking Number: 022434637JJK
Waste Line:

Transporter Name: E C T I
Transporter EPA ID: CAR000049064
Transporter Line Number: 2
Manifest Tracking Number: 022434637JJK
Transporter Name: Ati Restoration Llc
Transporter EPA ID: CAL000374063
Transporter Line Number: 1
GARDENS (Continued) 1027085577
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Institutional Control Indicator: No
Environmental Control Indicator: No
Corrective Action Priority Ranking: No NCAPS ranking
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Subject to Corrective Action Universe: No
202 GPRA Corrective Action Baseline: No
2018 GPRA Renewals Baseline: Not on the Baseline
2018 GPRA Permit Baseline: Not on the Baseline
Sub-Part K Indicator: Not reported
Hazardous Secondary Material Indicator: N
Federal Facility Indicator: Not reported
Active Site State-Reg Handler: ---
Federal Universal Waste: No
Universal Waste Destination Facility: No
Universal Waste Indicator: No
Off-Site Waste Receipt: No
Underground Injection Control: No
Smelting Melting and Refining Furnace Exemption: No
Small Quantity On-Site Burner Exemption: No
Recycler Activity with Storage: No
Transfer Facility Activity: No
Transporter Activity: No
Mixed Waste Generator: No
Importer Activity: No
Short-Term Generator Activity: No
Operator Type: Not reported
Operator Name: Not reported
Owner Type: Not reported
Owner Name: Not reported
Mailing City,State,Zip: Not reported
Mailing Address: Not reported
State District: Not reported
State District Owner: Not reported
Active Site Indicator: Not reported
Accessibility: Not reported
Biennial Report Cycle: Not reported
Non-Notifier: Not reported
Federal Waste Generator Description: Not a generator, verified Land Type: Not reported
EPA Region: 09
Contact Title: Not reported
Contact Email: [email protected]
Contact Fax: Not reported
Contact Telephone: 650-931-3400
Contact City,State,Zip: SAN MATEO, CA 94401
Contact Address: 1 NORTH B STREET
Contact Name: VICTOR FERNANDEZ
EPA ID: CAC003290066
Handler City,State,Zip: CUPERTINO, CA 95014
Handler Address: 10200 Miller Ave
Handler Name: Gardens Of Fountainbleu
Date Form Received by Agency: 20240902
RCRA Listings:
953 ft. Site 8 of 9 in cluster L

0.180 mi.

Relative:

Higher
Actual:
204 ft.
1/8-1/4 CUPERTINO, CA 95014
SSE 10200 MILLER AVE E MANIFEST CAC003261424
L90 GARDENS OF FOUNTAINBLEU RCRA NonGen / NLR 1028899696 TC07984167.2r Page 364
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Electronic Manifest Broker: No
Non Storage Recycler Activity: No
Current Record: No
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Not a generator, verified Handler Name: GARDENS OF FOUNTAINBLEU
Receive Date: 20240603
Historic Generators:

Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 650-931-3400
Owner/Operator City,State,Zip: SAN MATEO, CA 94401
Owner/Operator Address: 1 NORTH B STREET
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: PREG EMERSON, LLC
Owner/Operator Indicator: Owner
Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 650-931-3400
Owner/Operator City,State,Zip: SAN MATEO, CA 94401
Owner/Operator Address: 1 NORTH B STREET
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: VICTOR FERNANDEZ
Owner/Operator Indicator: Operator
Handler - Owner Operator:

Sub-Part P Indicator: No
Manifest Broker: No
Recycler Activity Without Storage: No
Exporter of Spent Lead Acid Batteries: No
Importer of Spent Lead Acid Batteries: No
Recognized Trader-Exporter: No
Recognized Trader-Importer: No
Handler Date of Last Change: 20241001
Financial Assurance Required: Not reported
Significant Non-Complier With a Compliance Schedule Universe: No Addressed Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Significant Non-Complier Universe: No
Groundwater Controls Indicator: N/A
Human Exposure Controls Indicator: N/A
GARDENS OF FOUNTAINBLEU (Continued) 1028899696
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Designated Facility Mail State: CA
Designated Facility Mail Zip: 94551
Designated Facility Mail City: LIVERMORE
Designated Facility Mail Street 2: ALTAMONT PASS RD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 10840
Designated Facility Name: Altamont Landfill & Resource Recovery Facility Designated Facility EPA ID: CAD981382732
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94401
Generator Mail City: SAN MATEO
Generator Mail Street 2: SUITE 4000
Generator Mail Street 1: 1 NORTH B STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVE
Generator Location Street Number: Not reported
Generator Name: Gardens Of Fountainbleu
Generator EPA ID: CAC003261424
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20231129
Shipped Date: 20231127
Last Updated Date: 20231215
Manifest Tracking Number: 018744351FLE
E MANIFEST:

Evaluations: No Evaluations Found
Evaluation Action Summary:

Violations: No Violations Found
Facility Has Received Notices of Violations:

NAICS Description: Lessors Of Residential Buildings And Dwellings NAICS Code: 53111
List of NAICS Codes and Descriptions:

Electronic Manifest Broker: No
Non Storage Recycler Activity: No
Current Record: Yes
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Not a generator, verified Handler Name: GARDENS OF FOUNTAINBLEU
Receive Date: 20240902
GARDENS OF FOUNTAINBLEU (Continued) 1028899696
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Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20231208
Shipped Date: 20231204
Last Updated Date: 20231227
Manifest Tracking Number: 024367024JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 94551
Designated Facility Location City: LIVERMORE
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: ALTAMONT PASS RD Designated Facility Location Street Number: 10840
Designated Facility Mail State: CA
Designated Facility Mail Zip: 94551
Designated Facility Mail City: LIVERMORE
Designated Facility Mail Street 2: ALTAMONT PASS RD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 10840
Designated Facility Name: Altamont Landfill & Resource Recovery Facility Designated Facility EPA ID: CAD981382732
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94401
Generator Mail City: SAN MATEO
Generator Mail Street 2: SUITE 4000
Generator Mail Street 1: 1 NORTH B STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVE
Generator Location Street Number: Not reported
Generator Name: Gardens Of Fountainbleu
Generator EPA ID: CAC003261424
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20231129
Shipped Date: 20231127
Last Updated Date: 20231215
Manifest Tracking Number: 018744351FLE
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 94551
Designated Facility Location City: LIVERMORE
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: ALTAMONT PASS RD Designated Facility Location Street Number: 10840
GARDENS OF FOUNTAINBLEU (Continued) 1028899696
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Designated Facility Name: Altamont Landfill & Resource Recovery Facility Designated Facility EPA ID: CAD981382732
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94401
Generator Mail City: SAN MATEO
Generator Mail Street 2: SUITE 4000
Generator Mail Street 1: 1 NORTH B STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVE
Generator Location Street Number: Not reported
Generator Name: Gardens Of Fountainbleu
Generator EPA ID: CAC003261424
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20231208
Shipped Date: 20231204
Last Updated Date: 20231227
Manifest Tracking Number: 024367024JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 94551
Designated Facility Location City: LIVERMORE
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: ALTAMONT PASS RD Designated Facility Location Street Number: 10840
Designated Facility Mail State: CA
Designated Facility Mail Zip: 94551
Designated Facility Mail City: LIVERMORE
Designated Facility Mail Street 2: ALTAMONT PASS RD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 10840
Designated Facility Name: Altamont Landfill & Resource Recovery Facility Designated Facility EPA ID: CAD981382732
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94401
Generator Mail City: SAN MATEO
Generator Mail Street 2: SUITE 4000
Generator Mail Street 1: 1 NORTH B STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVE
Generator Location Street Number: Not reported
Generator Name: Gardens Of Fountainbleu
Generator EPA ID: CAC003261424
GARDENS OF FOUNTAINBLEU (Continued) 1028899696
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Manifest Tracking Number: 024367049JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 94551
Designated Facility Location City: LIVERMORE
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: ALTAMONT PASS RD Designated Facility Location Street Number: 10840
Designated Facility Mail State: CA
Designated Facility Mail Zip: 94551
Designated Facility Mail City: LIVERMORE
Designated Facility Mail Street 2: ALTAMONT PASS RD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 10840
Designated Facility Name: Altamont Landfill & Resource Recovery Facility Designated Facility EPA ID: CAD981382732
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94401
Generator Mail City: SAN MATEO
Generator Mail Street 2: SUITE 4000
Generator Mail Street 1: 1 NORTH B STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVE
Generator Location Street Number: Not reported
Generator Name: Gardens Of Fountainbleu
Generator EPA ID: CAC003261424
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20231227
Shipped Date: 20231226
Last Updated Date: 20240116
Manifest Tracking Number: 024367049JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 94551
Designated Facility Location City: LIVERMORE
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: ALTAMONT PASS RD Designated Facility Location Street Number: 10840
Designated Facility Mail State: CA
Designated Facility Mail Zip: 94551
Designated Facility Mail City: LIVERMORE
Designated Facility Mail Street 2: ALTAMONT PASS RD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 10840
GARDENS OF FOUNTAINBLEU (Continued) 1028899696
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Generator Mail Street 2: SUITE 4000
Generator Mail Street 1: 1 NORTH B STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVE
Generator Location Street Number: Not reported
Generator Name: Gardens Of Fountainbleu
Generator EPA ID: CAC003290066
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20240614
Shipped Date: 20240610
Last Updated Date: 20240621
Manifest Tracking Number: 024367405JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 94551
Designated Facility Location City: LIVERMORE
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: ALTAMONT PASS RD Designated Facility Location Street Number: 10840
Designated Facility Mail State: CA
Designated Facility Mail Zip: 94551
Designated Facility Mail City: LIVERMORE
Designated Facility Mail Street 2: ALTAMONT PASS RD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 10840
Designated Facility Name: Altamont Landfill & Resource Recovery Facility Designated Facility EPA ID: CAD981382732
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94401
Generator Mail City: SAN MATEO
Generator Mail Street 2: SUITE 4000
Generator Mail Street 1: 1 NORTH B STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVE
Generator Location Street Number: Not reported
Generator Name: Gardens Of Fountainbleu
Generator EPA ID: CAC003261424
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20231227
Shipped Date: 20231226
Last Updated Date: 20240116
GARDENS OF FOUNTAINBLEU (Continued) 1028899696
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Designated Facility Location Zip: 95366
Designated Facility Location City: MANTECA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: SOUTH AUSTIN ROAD Designated Facility Location Street Number: 9999
Designated Facility Mail State: CA
Designated Facility Mail Zip: 95336
Designated Facility Mail City: MANTECA
Designated Facility Mail Street 2: SOUTH AUSTIN ROAD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 9999
Designated Facility Name: Forward Landfill Inc Disposal Designated Facility EPA ID: CAL000190080
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94401
Generator Mail City: SAN MATEO
Generator Mail Street 2: SUITE 4000
Generator Mail Street 1: 1 NORTH B STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVE
Generator Location Street Number: Not reported
Generator Name: Gardens Of Fountainbleu
Generator EPA ID: CAC003290066
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20240614
Shipped Date: 20240610
Last Updated Date: 20240621
Manifest Tracking Number: 024367405JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95366
Designated Facility Location City: MANTECA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: SOUTH AUSTIN ROAD Designated Facility Location Street Number: 9999
Designated Facility Mail State: CA
Designated Facility Mail Zip: 95336
Designated Facility Mail City: MANTECA
Designated Facility Mail Street 2: SOUTH AUSTIN ROAD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 9999
Designated Facility Name: Forward Landfill Inc Disposal Designated Facility EPA ID: CAL000190080
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94401
Generator Mail City: SAN MATEO
GARDENS OF FOUNTAINBLEU (Continued) 1028899696
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Elevation Site Database(s) EPA ID Number
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVE
Generator Location Street Number: Not reported
Generator Name: Gardens Of Fountainbleu
Generator EPA ID: CAC003290066
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20240626
Shipped Date: 20240614
Last Updated Date: 20240627
Manifest Tracking Number: 024367418JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 94551
Designated Facility Location City: LIVERMORE
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: ALTAMONT PASS RD Designated Facility Location Street Number: 10840
Designated Facility Mail State: CA
Designated Facility Mail Zip: 94551
Designated Facility Mail City: LIVERMORE
Designated Facility Mail Street 2: ALTAMONT PASS RD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 10840
Designated Facility Name: Altamont Landfill & Resource Recovery Facility Designated Facility EPA ID: CAD981382732
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94401
Generator Mail City: SAN MATEO
Generator Mail Street 2: SUITE 4000
Generator Mail Street 1: 1 NORTH B STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVE
Generator Location Street Number: Not reported
Generator Name: Gardens Of Fountainbleu
Generator EPA ID: CAC003290066
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20240626
Shipped Date: 20240614
Last Updated Date: 20240627
Manifest Tracking Number: 024367418JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
GARDENS OF FOUNTAINBLEU (Continued) 1028899696
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Designated Facility Mail Zip: 95336
Designated Facility Mail City: MANTECA
Designated Facility Mail Street 2: SOUTH AUSTIN ROAD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 9999
Designated Facility Name: Forward Landfill Inc Disposal Designated Facility EPA ID: CAL000190080
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94401
Generator Mail City: SAN MATEO
Generator Mail Street 2: SUITE 4000
Generator Mail Street 1: 1 NORTH B STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER AVE
Generator Location Street Number: Not reported
Generator Name: Gardens Of Fountainbleu
Generator EPA ID: CAC003290066
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20240820
Shipped Date: 20240802
Last Updated Date: 20240822
Manifest Tracking Number: 024367495JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 94551
Designated Facility Location City: LIVERMORE
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: ALTAMONT PASS RD Designated Facility Location Street Number: 10840
Designated Facility Mail State: CA
Designated Facility Mail Zip: 94551
Designated Facility Mail City: LIVERMORE
Designated Facility Mail Street 2: ALTAMONT PASS RD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 10840
Designated Facility Name: Altamont Landfill & Resource Recovery Facility Designated Facility EPA ID: CAD981382732
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94401
Generator Mail City: SAN MATEO
Generator Mail Street 2: SUITE 4000
Generator Mail Street 1: 1 NORTH B STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
GARDENS OF FOUNTAINBLEU (Continued) 1028899696
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Elevation Site Database(s) EPA ID Number
Consent Number: Not reported
Waste Minimization Code Description: Not reported
Waste Minimization Code: Not reported
Source Code Description: Not reported
Source Code: Not reported
Form Code Description: Not reported
Form Code: Not reported
Waste Density Unit of Measure Description: Not reported Waste Density Unit of Measure Code: Not reported
Waste Density: Not reported
Waste Type Discrepancy Indicator: N
Quantity Discrepancy Indicator: N
Waste Residue Indicator: N
Management Method Description: LANDFILL (WITH PRIOR TREATMENT AND/OR STABILIZATION) Management Method Code: H132
Non-Acute Waste Quantity, in Kilorgrams: 5333.3364
Acute Waste Quantity, in Kilograms: 0
Waste Quantity, in Kilograms: 5333.3364
Non-Acute Waste Quantity, in Tons: 5.88
Acute Waste Quantity, in Tons: 0
Waste Quantity, in Tons: 5.88
Quantity Unit of Measure Description: Cubic Yards
Quantity Unit of Measure Code: Y
Waste Quantity: 7
Container Type Description: Burlap, cloth, paper, or plastic bags Container Type Code: BA
Number of Containers: 69
Non-Hazardous Waste Description: Not reported
U.S. DOT Description: Rq Na2212, Asbestos, 9, Pg Iii
U.S. DOT ID Number: NA2212
U.S. DOT Hazardous Indicator: Y
Waste Line Number: 1
Manifest Tracking Number: 024367495JJK
Waste Line:

Transporter Name: Naman Trucking
Transporter EPA ID: CAR000154740
Transporter Line Number: 2
Manifest Tracking Number: 024367495JJK
Transporter Name: Preferred Restoration Inc
Transporter EPA ID: CAL000469233
Transporter Line Number: 1
Manifest Tracking Number: 024367495JJK
Transporter:

Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95366
Designated Facility Location City: MANTECA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: SOUTH AUSTIN ROAD Designated Facility Location Street Number: 9999
Designated Facility Mail State: CA
GARDENS OF FOUNTAINBLEU (Continued) 1028899696
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4 additional US EManifest: record(s) in the EDR Site Report.

Click this hyperlink while viewing on your computer to access State Waste Codes: CA-151
Quantity Non Haz Tons: 5.88
Quantity Non Haz Kg: 5333.3364
Quantity Haz Tons: 0
Quantity Haz Kg: 0
Federal Waste Codes: Not reported
EPA Waste Indicator: N
GARDENS OF FOUNTAINBLEU (Continued) 1028899696
Federal Universal Waste: No
Universal Waste Destination Facility: No
Universal Waste Indicator: No
Off-Site Waste Receipt: No
Underground Injection Control: No
Smelting Melting and Refining Furnace Exemption: No
Small Quantity On-Site Burner Exemption: No
Recycler Activity with Storage: No
Transfer Facility Activity: No
Transporter Activity: No
Mixed Waste Generator: No
Importer Activity: No
Short-Term Generator Activity: No
Operator Type: Not reported
Operator Name: Not reported
Owner Type: Not reported
Owner Name: Not reported
Mailing City,State,Zip: Not reported
Mailing Address: Not reported
State District: Not reported
State District Owner: Not reported
Active Site Indicator: Not reported
Accessibility: Not reported
Biennial Report Cycle: Not reported
Non-Notifier: Not reported
Federal Waste Generator Description: Not a generator, verified Land Type: Not reported
EPA Region: 09
Contact Title: Not reported
Contact Email: [email protected]
Contact Fax: Not reported
Contact Telephone: 650-931-3400
Contact City,State,Zip: SAN MATEO, CA 94401
Contact Address: 1 NORTH B STREET
Contact Name: VICTOR FERNANDEZ
EPA ID: CAC003274393
Handler City,State,Zip: CUPERTINO, CA 95014
Handler Address: 10200 Miller Mave
Handler Name: Gardens Of Fountainbleu
Date Form Received by Agency: 20240522
RCRA Listings:
953 ft. Site 9 of 9 in cluster L

0.180 mi.

Relative:

Higher
Actual:
204 ft.
1/8-1/4 CUPERTINO, CA 95014
SSE 10200 MILLER MAVE E MANIFEST CAC003274393
L91 GARDENS OF FOUNTAINBLEU RCRA NonGen / NLR 1031047417 TC07984167.2r Page 375
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Elevation Site Database(s) EPA ID Number
Receive Date: 20240221
Historic Generators:

Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 650-931-3400
Owner/Operator City,State,Zip: SAN MATEO, CA 94401
Owner/Operator Address: 1 NORTH B STREET
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: PREG EMERSON, LLC
Owner/Operator Indicator: Owner
Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 650-931-3400
Owner/Operator City,State,Zip: SAN MATEO, CA 94401
Owner/Operator Address: 1 NORTH B STREET
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: VICTOR FERNANDEZ
Owner/Operator Indicator: Operator
Handler - Owner Operator:

Sub-Part P Indicator: No
Manifest Broker: No
Recycler Activity Without Storage: No
Exporter of Spent Lead Acid Batteries: No
Importer of Spent Lead Acid Batteries: No
Recognized Trader-Exporter: No
Recognized Trader-Importer: No
Handler Date of Last Change: 20240918
Financial Assurance Required: Not reported
Significant Non-Complier With a Compliance Schedule Universe: No Addressed Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Significant Non-Complier Universe: No
Groundwater Controls Indicator: N/A
Human Exposure Controls Indicator: N/A
Institutional Control Indicator: No
Environmental Control Indicator: No
Corrective Action Priority Ranking: No NCAPS ranking
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Subject to Corrective Action Universe: No
202 GPRA Corrective Action Baseline: No
2018 GPRA Renewals Baseline: Not on the Baseline
2018 GPRA Permit Baseline: Not on the Baseline
Sub-Part K Indicator: Not reported
Hazardous Secondary Material Indicator: N
Federal Facility Indicator: Not reported
Active Site State-Reg Handler: ---
GARDENS OF FOUNTAINBLEU (Continued) 1031047417
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Generator Mail Street 2: SUITE 4000
Generator Mail Street 1: 1 NORTH B STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER MAVE
Generator Location Street Number: Not reported
Generator Name: Gardens Of Fountainbleu
Generator EPA ID: CAC003274393
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20240312
Shipped Date: 20240301
Last Updated Date: 20240318
Manifest Tracking Number: 024367187JJK
E MANIFEST:

Evaluations: No Evaluations Found
Evaluation Action Summary:

Violations: No Violations Found
Facility Has Received Notices of Violations:

NAICS Description: Lessors Of Residential Buildings And Dwellings NAICS Code: 53111
List of NAICS Codes and Descriptions:

Electronic Manifest Broker: No
Non Storage Recycler Activity: No
Current Record: Yes
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Not a generator, verified Handler Name: GARDENS OF FOUNTAINBLEU
Receive Date: 20240522
Electronic Manifest Broker: No
Non Storage Recycler Activity: No
Current Record: No
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Not a generator, verified Handler Name: GARDENS OF FOUNTAINBLEU
GARDENS OF FOUNTAINBLEU (Continued) 1031047417
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Designated Facility Location Zip: 95366
Designated Facility Location City: MANTECA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: SOUTH AUSTIN ROAD Designated Facility Location Street Number: 9999
Designated Facility Mail State: CA
Designated Facility Mail Zip: 95336
Designated Facility Mail City: MANTECA
Designated Facility Mail Street 2: SOUTH AUSTIN ROAD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 9999
Designated Facility Name: Forward Landfill Inc Disposal Designated Facility EPA ID: CAL000190080
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94401
Generator Mail City: SAN MATEO
Generator Mail Street 2: SUITE 4000
Generator Mail Street 1: 1 NORTH B STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10200 MILLER MAVE
Generator Location Street Number: Not reported
Generator Name: Gardens Of Fountainbleu
Generator EPA ID: CAC003274393
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20240328
Shipped Date: 20240326
Last Updated Date: 20240402
Manifest Tracking Number: 024367248JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95366
Designated Facility Location City: MANTECA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: SOUTH AUSTIN ROAD Designated Facility Location Street Number: 9999
Designated Facility Mail State: CA
Designated Facility Mail Zip: 95336
Designated Facility Mail City: MANTECA
Designated Facility Mail Street 2: SOUTH AUSTIN ROAD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 9999
Designated Facility Name: Forward Landfill Inc Disposal Designated Facility EPA ID: CAL000190080
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 94401
Generator Mail City: SAN MATEO
GARDENS OF FOUNTAINBLEU (Continued) 1031047417
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Elevation Site Database(s) EPA ID Number
Quantity Non Haz Tons: 32.76
Quantity Non Haz Kg: 29714.303
Quantity Haz Tons: Not reported
Quantity Haz Kg: Not reported
Federal Waste Codes: Not reported
EPA Waste Indicator: N
Consent Number: Not reported
Waste Minimization Code Description: Not reported
Waste Minimization Code: Not reported
Source Code Description: Not reported
Source Code: Not reported
Form Code Description: Not reported
Form Code: Not reported
Waste Density Unit of Measure Description: Not reported Waste Density Unit of Measure Code: Not reported
Waste Density: Not reported
Waste Type Discrepancy Indicator: N
Quantity Discrepancy Indicator: N
Waste Residue Indicator: N
Management Method Description: LANDFILL (WITH PRIOR TREATMENT AND/OR STABILIZATION) Management Method Code: H132
Non-Acute Waste Quantity, in Kilorgrams: 29714.303
Acute Waste Quantity, in Kilograms: 0
Waste Quantity, in Kilograms: 29714.303
Non-Acute Waste Quantity, in Tons: 32.76
Acute Waste Quantity, in Tons: 0
Waste Quantity, in Tons: 32.76
Quantity Unit of Measure Description: Cubic Yards
Quantity Unit of Measure Code: Y
Waste Quantity: 39
Container Type Description: Burlap, cloth, paper, or plastic bags Container Type Code: BA
Number of Containers: 384
Non-Hazardous Waste Description: Not reported
U.S. DOT Description: Rq Na2212, Asbestos, 9, Pg Iii
U.S. DOT ID Number: NA2212
U.S. DOT Hazardous Indicator: Y
Waste Line Number: 1
Manifest Tracking Number: 024367248JJK
Waste Line:

Transporter Name: Naman Trucking
Transporter EPA ID: CAR000154740
Transporter Line Number: 2
Manifest Tracking Number: 024367248JJK
Transporter Name: Preferred Restoration Inc
Transporter EPA ID: CAL000469233
Transporter Line Number: 1
Manifest Tracking Number: 024367248JJK
Transporter:

Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
GARDENS OF FOUNTAINBLEU (Continued) 1031047417
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State Waste Codes: CA-151
GARDENS OF FOUNTAINBLEU (Continued) 1031047417
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Subject to Corrective Action Universe: No
202 GPRA Corrective Action Baseline: No
2018 GPRA Renewals Baseline: Not on the Baseline
2018 GPRA Permit Baseline: Not on the Baseline
Sub-Part K Indicator: Not reported
Hazardous Secondary Material Indicator: N
Federal Facility Indicator: Not reported
Active Site State-Reg Handler: ---
Federal Universal Waste: No
Universal Waste Destination Facility: No
Universal Waste Indicator: No
Off-Site Waste Receipt: No
Underground Injection Control: No
Smelting Melting and Refining Furnace Exemption: No
Small Quantity On-Site Burner Exemption: No
Recycler Activity with Storage: No
Transfer Facility Activity: No
Transporter Activity: No
Mixed Waste Generator: No
Importer Activity: No
Short-Term Generator Activity: No
Operator Type: Not reported
Operator Name: Not reported
Owner Type: Not reported
Owner Name: Not reported
Mailing City,State,Zip: Not reported
Mailing Address: Not reported
State District: Not reported
State District Owner: Not reported
Active Site Indicator: Not reported
Accessibility: Not reported
Biennial Report Cycle: Not reported
Non-Notifier: Not reported
Federal Waste Generator Description: Not a generator, verified Land Type: Not reported
EPA Region: 09
Contact Title: Not reported
Contact Email: [email protected]
Contact Fax: Not reported
Contact Telephone: 408-242-1243
Contact City,State,Zip: CUPERTINO, CA 95014
Contact Address: 10154 DENISON AVENUE
Contact Name: MASATO KAIDA
EPA ID: CAC003254947
Handler City,State,Zip: CUPERTINO, CA 95014
Handler Address: 10154 Denison Avenue
Handler Name: Masato Kaida
Date Form Received by Agency: 20240918
RCRA Listings:
973 ft. Site 1 of 3 in cluster M

0.184 mi.

Relative:

Lower
Actual:
194 ft.
1/8-1/4 CUPERTINO, CA 95014
NNW 10154 DENISON AVENUE E MANIFEST CAC003254947
M92 MASATO KAIDA RCRA NonGen / NLR 1028893655
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Elevation Site Database(s) EPA ID Number
Current Record: No
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Not a generator, verified Handler Name: MASATO KAIDA
Receive Date: 20231004
Historic Generators:

Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 408-242-1243
Owner/Operator City,State,Zip: CUPERTINO, CA 95014
Owner/Operator Address: 10154 DENISON AVENUE
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: MASATO KAIDA
Owner/Operator Indicator: Operator
Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 408-242-1243
Owner/Operator City,State,Zip: CUPERTINO, CA 95014
Owner/Operator Address: 10154 DENISON AVENUE
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: MASATO KAIDA
Owner/Operator Indicator: Owner
Handler - Owner Operator:

Sub-Part P Indicator: No
Manifest Broker: No
Recycler Activity Without Storage: No
Exporter of Spent Lead Acid Batteries: No
Importer of Spent Lead Acid Batteries: No
Recognized Trader-Exporter: No
Recognized Trader-Importer: No
Handler Date of Last Change: 20240918
Financial Assurance Required: Not reported
Significant Non-Complier With a Compliance Schedule Universe: No Addressed Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Significant Non-Complier Universe: No
Groundwater Controls Indicator: N/A
Human Exposure Controls Indicator: N/A
Institutional Control Indicator: No
Environmental Control Indicator: No
Corrective Action Priority Ranking: No NCAPS ranking
MASATO KAIDA (Continued) 1028893655
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Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Designated Facility Mail Street 2: ALTAMONT PASS RD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 10840
Designated Facility Name: Altamont Landfill & Resource Recovery Facility Designated Facility EPA ID: CAD981382732
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 95014
Generator Mail City: CUPERTINO
Generator Mail Street 2: Not reported
Generator Mail Street 1: 10154 DENISON AVENUE
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10154 DENISON AVENUE
Generator Location Street Number: Not reported
Generator Name: Masato Kaida
Generator EPA ID: CAC003254947
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20231010
Shipped Date: 20231005
Last Updated Date: 20231026
Manifest Tracking Number: 025760520JJK
E MANIFEST:

Evaluations: No Evaluations Found
Evaluation Action Summary:

Violations: No Violations Found
Facility Has Received Notices of Violations:

NAICS Description: All Other Waste Management Services
NAICS Code: 56299
List of NAICS Codes and Descriptions:

Electronic Manifest Broker: No
Non Storage Recycler Activity: No
Current Record: Yes
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Not a generator, verified Handler Name: MASATO KAIDA
Receive Date: 20240918
Electronic Manifest Broker: No
Non Storage Recycler Activity: No
MASATO KAIDA (Continued) 1028893655
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Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Waste Minimization Code: Not reported
Source Code Description: Not reported
Source Code: Not reported
Form Code Description: Not reported
Form Code: Not reported
Waste Density Unit of Measure Description: Not reported Waste Density Unit of Measure Code: Not reported
Waste Density: Not reported
Waste Type Discrepancy Indicator: N
Quantity Discrepancy Indicator: N
Waste Residue Indicator: N
Management Method Description: LANDFILL (WITH PRIOR TREATMENT AND/OR STABILIZATION) Management Method Code: H132
Non-Acute Waste Quantity, in Kilorgrams: 761.9052
Acute Waste Quantity, in Kilograms: 0
Waste Quantity, in Kilograms: 761.9052
Non-Acute Waste Quantity, in Tons: 0.84
Acute Waste Quantity, in Tons: 0
Waste Quantity, in Tons: 0.84
Quantity Unit of Measure Description: Cubic Yards
Quantity Unit of Measure Code: Y
Waste Quantity: 1
Container Type Description: Burlap, cloth, paper, or plastic bags Container Type Code: BA
Number of Containers: 7
Non-Hazardous Waste Description: Not reported
U.S. DOT Description: Na2212, Asbestos, 9, Pg Iii, Rq
U.S. DOT ID Number: NA2212
U.S. DOT Hazardous Indicator: Y
Waste Line Number: 1
Manifest Tracking Number: 025760520JJK
Waste Line:

Transporter Name: Advanced Chemical Transport Inc. Dba Actenviro Transporter EPA ID: CAR000070540
Transporter Line Number: 2
Manifest Tracking Number: 025760520JJK
Transporter Name: Synergy Ee Inc
Transporter EPA ID: CAL000438487
Transporter Line Number: 1
Manifest Tracking Number: 025760520JJK
Transporter:

Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 94551
Designated Facility Location City: LIVERMORE
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: ALTAMONT PASS RD Designated Facility Location Street Number: 10840
Designated Facility Mail State: CA
Designated Facility Mail Zip: 94551
Designated Facility Mail City: LIVERMORE
MASATO KAIDA (Continued) 1028893655
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Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
State Waste Codes: CA-151
Quantity Non Haz Tons: 0.84
Quantity Non Haz Kg: 761.9052
Quantity Haz Tons: Not reported
Quantity Haz Kg: Not reported
Federal Waste Codes: Not reported
EPA Waste Indicator: N
Consent Number: Not reported
Waste Minimization Code Description: Not reported
MASATO KAIDA (Continued) 1028893655
Active Site State-Reg Handler: ---
Federal Universal Waste: No
Universal Waste Destination Facility: No
Universal Waste Indicator: No
Off-Site Waste Receipt: No
Underground Injection Control: No
Smelting Melting and Refining Furnace Exemption: No
Small Quantity On-Site Burner Exemption: No
Recycler Activity with Storage: No
Transfer Facility Activity: No
Transporter Activity: No
Mixed Waste Generator: No
Importer Activity: No
Short-Term Generator Activity: No
Operator Type: Other
Operator Name: Zhen Li
Owner Type: Other
Owner Name: Zhen Li
Mailing City,State,Zip: CUPERTINO, CA 95014
Mailing Address: 19773 WINTERGREEN DR
State District: Not reported
State District Owner: Not reported
Active Site Indicator: Not reported
Accessibility: Not reported
Biennial Report Cycle: Not reported
Non-Notifier: Not reported
Federal Waste Generator Description: Not a generator, verified Land Type: Not reported
EPA Region: 09
Contact Title: Not reported
Contact Email: [email protected]
Contact Fax: Not reported
Contact Telephone: 650-862-3278
Contact City,State,Zip: CUPERTINO, CA 95014
Contact Address: 19773 WINTERGREEN DR
Contact Name: ZHEN LI
EPA ID: CAC003150175
Handler City,State,Zip: CUPERTINO, CA 95014
Handler Address: 19773 Wintergreen Dr
Handler Name: 19773 Wintergreen Dr
Date Form Received by Agency: 20211124
RCRA Listings:
1023 ft.

0.194 mi.

Relative:

Higher
Actual:
210 ft.
1/8-1/4 CUPERTINO, CA 95014
SW 19773 WINTERGREEN DR E MANIFEST CAC003150175
93 ZHEN LI RCRA NonGen / NLR 1027078292
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Elevation Site Database(s) EPA ID Number
Handler Name: 19773 WINTERGREEN DR
Receive Date: 20211124
Historic Generators:

Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 650-862-3278
Owner/Operator City,State,Zip: CUPERTINO, CA 95014
Owner/Operator Address: 19773 WINTERGREEN DR
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: ZHEN LI
Owner/Operator Indicator: Operator
Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 650-862-3278
Owner/Operator City,State,Zip: CUPERTINO, CA 95014
Owner/Operator Address: 19773 WINTERGREEN DR
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: ZHEN LI
Owner/Operator Indicator: Owner
Handler - Owner Operator:

Sub-Part P Indicator: No
Manifest Broker: No
Recycler Activity Without Storage: No
Exporter of Spent Lead Acid Batteries: No
Importer of Spent Lead Acid Batteries: No
Recognized Trader-Exporter: No
Recognized Trader-Importer: No
Handler Date of Last Change: 20241211
Financial Assurance Required: Not reported
Significant Non-Complier With a Compliance Schedule Universe: No Addressed Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Significant Non-Complier Universe: No
Groundwater Controls Indicator: N/A
Human Exposure Controls Indicator: N/A
Institutional Control Indicator: No
Environmental Control Indicator: No
Corrective Action Priority Ranking: No NCAPS ranking
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Subject to Corrective Action Universe: No
202 GPRA Corrective Action Baseline: No
2018 GPRA Renewals Baseline: Not on the Baseline
2018 GPRA Permit Baseline: Not on the Baseline
Sub-Part K Indicator: Not reported
Hazardous Secondary Material Indicator: N
Federal Facility Indicator: Not reported
ZHEN LI (Continued) 1027078292
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Elevation Site Database(s) EPA ID Number
Designated Facility Location Street 1: ALTAMONT PASS RD Designated Facility Location Street Number: 10840
Designated Facility Mail State: CA
Designated Facility Mail Zip: 94551
Designated Facility Mail City: LIVERMORE
Designated Facility Mail Street 2: ALTAMONT PASS RD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 10840
Designated Facility Name: Altamont Landfill & Resource Recovery Facility Designated Facility EPA ID: CAD981382732
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 95014
Generator Mail City: CUPERTINO
Generator Mail Street 2: Not reported
Generator Mail Street 1: 19773 WINTERGREEN DR
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 19773 WINTERGREEN DR
Generator Location Street Number: Not reported
Generator Name: Zhen Li
Generator EPA ID: CAC003150175
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20211206
Shipped Date: 20211203
Last Updated Date: 20211221
Manifest Tracking Number: 020986088JJK
E MANIFEST:

Evaluations: No Evaluations Found
Evaluation Action Summary:

Violations: No Violations Found
Facility Has Received Notices of Violations:

NAICS Description: All Other Waste Management Services
NAICS Code: 56299
List of NAICS Codes and Descriptions:

Electronic Manifest Broker: No
Non Storage Recycler Activity: No
Current Record: Yes
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Not a generator, verified ZHEN LI (Continued) 1027078292
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Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Quantity Haz Kg: 0
Federal Waste Codes: Not reported
EPA Waste Indicator: N
Consent Number: Not reported
Waste Minimization Code Description: Not reported
Waste Minimization Code: Not reported
Source Code Description: Not reported
Source Code: Not reported
Form Code Description: Not reported
Form Code: Not reported
Waste Density Unit of Measure Description: Not reported Waste Density Unit of Measure Code: Not reported
Waste Density: Not reported
Waste Type Discrepancy Indicator: N
Quantity Discrepancy Indicator: N
Waste Residue Indicator: N
Management Method Description: LANDFILL (WITH PRIOR TREATMENT AND/OR STABILIZATION) Management Method Code: H132
Non-Acute Waste Quantity, in Kilorgrams: 761.9052
Acute Waste Quantity, in Kilograms: 0
Waste Quantity, in Kilograms: 761.9052
Non-Acute Waste Quantity, in Tons: 0.84
Acute Waste Quantity, in Tons: 0
Waste Quantity, in Tons: 0.84
Quantity Unit of Measure Description: Cubic Yards
Quantity Unit of Measure Code: Y
Waste Quantity: 1
Container Type Description: Burlap, cloth, paper, or plastic bags Container Type Code: BA
Number of Containers: 2
Non-Hazardous Waste Description: Not reported
U.S. DOT Description: Na2212, Asbestos, 9, Pg Iii, Rq
U.S. DOT ID Number: NA2212
U.S. DOT Hazardous Indicator: Y
Waste Line Number: 1
Manifest Tracking Number: 020986088JJK
Waste Line:

Transporter Name: Ferma Greenbox Inc
Transporter EPA ID: CAR000273680
Transporter Line Number: 2
Manifest Tracking Number: 020986088JJK
Transporter Name: Jwh Asbestos Removal Services
Transporter EPA ID: CAL000450184
Transporter Line Number: 1
Manifest Tracking Number: 020986088JJK
Transporter:

Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 94551
Designated Facility Location City: LIVERMORE
Designated Facility Location Street 2: Not reported
ZHEN LI (Continued) 1027078292
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Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
State Waste Codes: CA-151
Quantity Non Haz Tons: 0.84
Quantity Non Haz Kg: 761.9052
Quantity Haz Tons: 0
ZHEN LI (Continued) 1027078292
2018 GPRA Renewals Baseline: Not on the Baseline
2018 GPRA Permit Baseline: Not on the Baseline
Sub-Part K Indicator: Not reported
Hazardous Secondary Material Indicator: N
Federal Facility Indicator: Not reported
Active Site State-Reg Handler: ---
Federal Universal Waste: No
Universal Waste Destination Facility: No
Universal Waste Indicator: No
Off-Site Waste Receipt: No
Underground Injection Control: No
Smelting Melting and Refining Furnace Exemption: No
Small Quantity On-Site Burner Exemption: No
Recycler Activity with Storage: No
Transfer Facility Activity: No
Transporter Activity: No
Mixed Waste Generator: No
Importer Activity: No
Short-Term Generator Activity: No
Operator Type: Other
Operator Name: Chen, Yinghog
Owner Type: Other
Owner Name: Chen, Yinghog
Mailing City,State,Zip: CUPERTINO, CA 95014-2426
Mailing Address: 10153 DENISON AVE
State District: Not reported
State District Owner: Not reported
Active Site Indicator: Not reported
Accessibility: Not reported
Biennial Report Cycle: Not reported
Non-Notifier: Not reported
Federal Waste Generator Description: Not a generator, verified Land Type: Not reported
EPA Region: 09
Contact Title: Not reported
Contact Email: [email protected]
Contact Fax: Not reported
Contact Telephone: 408-931-1408
Contact City,State,Zip: CUPERTINO, CA 95014-2426
Contact Address: 10153 DENISON AVE
Contact Name: CHEN, YINGHOG
EPA ID: CAC003043422
Handler City,State,Zip: CUPERTINO, CA 95014-2426
Handler Address: 10153 Denison Ave
Handler Name: 10153 Denison Ave
Date Form Received by Agency: 20191115
RCRA Listings:
1031 ft. Site 2 of 3 in cluster M

0.195 mi.

Relative:

Lower
Actual:
195 ft.
1/8-1/4 CUPERTINO, CA 95014
NW 10153 DENISON AVE CAC003043422
M94 10153 DENISON AVE RCRA NonGen / NLR 1025862691
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Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Not a generator, verified Handler Name: 10153 DENISON AVE
Receive Date: 20191115
Historic Generators:

Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 408-931-1408
Owner/Operator City,State,Zip: CUPERTINO, CA 95014-2426 Owner/Operator Address: 10153 DENISON AVE
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: CHEN, YINGHOG
Owner/Operator Indicator: Owner
Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 408-931-1408
Owner/Operator City,State,Zip: CUPERTINO, CA 95014-2426 Owner/Operator Address: 10153 DENISON AVE
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: CHEN, YINGHOG
Owner/Operator Indicator: Operator
Handler - Owner Operator:

Sub-Part P Indicator: No
Manifest Broker: No
Recycler Activity Without Storage: No
Exporter of Spent Lead Acid Batteries: No
Importer of Spent Lead Acid Batteries: No
Recognized Trader-Exporter: No
Recognized Trader-Importer: No
Handler Date of Last Change: 20241211
Financial Assurance Required: Not reported
Significant Non-Complier With a Compliance Schedule Universe: No Addressed Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Significant Non-Complier Universe: No
Groundwater Controls Indicator: N/A
Human Exposure Controls Indicator: N/A
Institutional Control Indicator: No
Environmental Control Indicator: No
Corrective Action Priority Ranking: No NCAPS ranking
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Subject to Corrective Action Universe: No
202 GPRA Corrective Action Baseline: No
10153 DENISON AVE (Continued) 1025862691
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Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Evaluations: No Evaluations Found
Evaluation Action Summary:

Violations: No Violations Found
Facility Has Received Notices of Violations:

NAICS Description: All Other Waste Management Services
NAICS Code: 56299
List of NAICS Codes and Descriptions:

Electronic Manifest Broker: No
Non Storage Recycler Activity: No
Current Record: Yes
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
10153 DENISON AVE (Continued) 1025862691
Transfer Facility Activity: No
Transporter Activity: No
Mixed Waste Generator: No
Importer Activity: No
Short-Term Generator Activity: No
Operator Type: Other
Operator Name: Chrystal Silva Duenow
Owner Type: Other
Owner Name: Chrystal Silva Duenow
Mailing City,State,Zip: CUPERTINO, CA 95014
Mailing Address: 10277 COLD HARBOR AVENUE
State District: Not reported
State District Owner: Not reported
Active Site Indicator: Not reported
Accessibility: Not reported
Biennial Report Cycle: Not reported
Non-Notifier: Not reported
Federal Waste Generator Description: Not a generator, verified Land Type: Not reported
EPA Region: 09
Contact Title: Not reported
Contact Email: [email protected]
Contact Fax: Not reported
Contact Telephone: 408-665-5704
Contact City,State,Zip: CUPERTINO, CA 95014
Contact Address: 10277 COLD HARBOR AVENUE
Contact Name: CHRYSTAL SILVA DUENOW
EPA ID: CAC003185617
Handler City,State,Zip: CUPERTINO, CA 95014
Handler Address: 10277 Cold Harbor Avenue
Handler Name: 10277 Cold Harbor Avenue
Date Form Received by Agency: 20220715
RCRA Listings:
1033 ft.

0.196 mi.

Relative:

Higher
Actual:
212 ft.
1/8-1/4 CUPERTINO, CA 95014
SW 10277 COLD HARBOR AVENUE E MANIFEST CAC003185617
95 CHRYSTAL SILVA DUENOW RCRA NonGen / NLR 1027447943
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Elevation Site Database(s) EPA ID Number
Owner/Operator City,State,Zip: CUPERTINO, CA 95014
Owner/Operator Address: 10277 COLD HARBOR AVENUE
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: CHRYSTAL SILVA DUENOW
Owner/Operator Indicator: Operator
Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 408-665-5704
Owner/Operator City,State,Zip: CUPERTINO, CA 95014
Owner/Operator Address: 10277 COLD HARBOR AVENUE
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: CHRYSTAL SILVA DUENOW
Owner/Operator Indicator: Owner
Handler - Owner Operator:

Sub-Part P Indicator: No
Manifest Broker: No
Recycler Activity Without Storage: No
Exporter of Spent Lead Acid Batteries: No
Importer of Spent Lead Acid Batteries: No
Recognized Trader-Exporter: No
Recognized Trader-Importer: No
Handler Date of Last Change: 20241212
Financial Assurance Required: Not reported
Significant Non-Complier With a Compliance Schedule Universe: No Addressed Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Significant Non-Complier Universe: No
Groundwater Controls Indicator: N/A
Human Exposure Controls Indicator: N/A
Institutional Control Indicator: No
Environmental Control Indicator: No
Corrective Action Priority Ranking: No NCAPS ranking
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Subject to Corrective Action Universe: No
202 GPRA Corrective Action Baseline: No
2018 GPRA Renewals Baseline: Not on the Baseline
2018 GPRA Permit Baseline: Not on the Baseline
Sub-Part K Indicator: Not reported
Hazardous Secondary Material Indicator: N
Federal Facility Indicator: Not reported
Active Site State-Reg Handler: ---
Federal Universal Waste: No
Universal Waste Destination Facility: No
Universal Waste Indicator: No
Off-Site Waste Receipt: No
Underground Injection Control: No
Smelting Melting and Refining Furnace Exemption: No
Small Quantity On-Site Burner Exemption: No
Recycler Activity with Storage: No
CHRYSTAL SILVA DUENOW (Continued) 1027447943
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Elevation Site Database(s) EPA ID Number
Designated Facility Name: Forward Landfill Inc Disposal Designated Facility EPA ID: CAL000190080
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 95014
Generator Mail City: CUPERTINO
Generator Mail Street 2: Not reported
Generator Mail Street 1: 10277 COLD HARBOR AVENUE
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10277 COLD HARBOR AVENUE
Generator Location Street Number: Not reported
Generator Name: Chrystal Silva Duenow
Generator EPA ID: CAC003185617
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20220727
Shipped Date: 20220716
Last Updated Date: 20220802
Manifest Tracking Number: 023652725JJK
E MANIFEST:

Evaluations: No Evaluations Found
Evaluation Action Summary:

Violations: No Violations Found
Facility Has Received Notices of Violations:

NAICS Description: All Other Waste Management Services
NAICS Code: 56299
List of NAICS Codes and Descriptions:

Electronic Manifest Broker: No
Non Storage Recycler Activity: No
Current Record: Yes
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Not a generator, verified Handler Name: 10277 COLD HARBOR AVENUE
Receive Date: 20220715
Historic Generators:

Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 408-665-5704
CHRYSTAL SILVA DUENOW (Continued) 1027447943
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Map ID MAP FINDINGS
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Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Form Code Description: Not reported
Form Code: Not reported
Waste Density Unit of Measure Description: Not reported Waste Density Unit of Measure Code: Not reported
Waste Density: Not reported
Waste Type Discrepancy Indicator: N
Quantity Discrepancy Indicator: N
Waste Residue Indicator: N
Management Method Description: LANDFILL (WITH PRIOR TREATMENT AND/OR STABILIZATION) Management Method Code: H132
Non-Acute Waste Quantity, in Kilorgrams: 761.9052
Acute Waste Quantity, in Kilograms: 0
Waste Quantity, in Kilograms: 761.9052
Non-Acute Waste Quantity, in Tons: 0.84
Acute Waste Quantity, in Tons: 0
Waste Quantity, in Tons: 0.84
Quantity Unit of Measure Description: Cubic Yards
Quantity Unit of Measure Code: Y
Waste Quantity: 1
Container Type Description: Burlap, cloth, paper, or plastic bags Container Type Code: BA
Number of Containers: 15
Non-Hazardous Waste Description: Not reported
U.S. DOT Description: Rq Na2212, Asbestos, 9, Pgiii
U.S. DOT ID Number: NA2212
U.S. DOT Hazardous Indicator: Y
Waste Line Number: 1
Manifest Tracking Number: 023652725JJK
Waste Line:

Transporter Name: E C T I
Transporter EPA ID: CAR000049064
Transporter Line Number: 2
Manifest Tracking Number: 023652725JJK
Transporter Name: Alliance Evironmental Group
Transporter EPA ID: CAL000160111
Transporter Line Number: 1
Manifest Tracking Number: 023652725JJK
Transporter:

Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 95366
Designated Facility Location City: MANTECA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: SOUTH AUSTIN ROAD Designated Facility Location Street Number: 9999
Designated Facility Mail State: CA
Designated Facility Mail Zip: 95336
Designated Facility Mail City: MANTECA
Designated Facility Mail Street 2: SOUTH AUSTIN ROAD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 9999
CHRYSTAL SILVA DUENOW (Continued) 1027447943
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Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
State Waste Codes: CA-151
Quantity Non Haz Tons: 0.84
Quantity Non Haz Kg: 761.9052
Quantity Haz Tons: 0
Quantity Haz Kg: 0
Federal Waste Codes: Not reported
EPA Waste Indicator: N
Consent Number: Not reported
Waste Minimization Code Description: Not reported
Waste Minimization Code: Not reported
Source Code Description: Not reported
Source Code: Not reported
CHRYSTAL SILVA DUENOW (Continued) 1027447943
Universal Waste Indicator: No
Off-Site Waste Receipt: No
Underground Injection Control: No
Smelting Melting and Refining Furnace Exemption: No
Small Quantity On-Site Burner Exemption: No
Recycler Activity with Storage: No
Transfer Facility Activity: No
Transporter Activity: No
Mixed Waste Generator: No
Importer Activity: No
Short-Term Generator Activity: No
Operator Type: Other
Operator Name: Ellen Wu
Owner Type: Other
Owner Name: Ellen Wu
Mailing City,State,Zip: CUPERTINO, CA 95014
Mailing Address: 10168 DENISON AVE
State District: Not reported
State District Owner: Not reported
Active Site Indicator: Not reported
Accessibility: Not reported
Biennial Report Cycle: Not reported
Non-Notifier: Not reported
Federal Waste Generator Description: Not a generator, verified Land Type: Not reported
EPA Region: 09
Contact Title: Not reported
Contact Email: [email protected]
Contact Fax: Not reported
Contact Telephone: 408-781-0168
Contact City,State,Zip: CUPERTINO, CA 95014
Contact Address: 10168 DENISON AVE
Contact Name: ELLEN WU
EPA ID: CAC003081430
Handler City,State,Zip: CUPERTINO, CA 95014
Handler Address: 10168 Denison Ave
Handler Name: Ellen Wu
Date Form Received by Agency: 20200828
RCRA Listings:
1041 ft. Site 3 of 3 in cluster M

0.197 mi.

Relative:

Lower
Actual:
194 ft.
1/8-1/4 CUPERTINO, CA 95014
NNW 10168 DENISON AVE E MANIFEST CAC003081430
M96 ELLEN WU RCRA NonGen / NLR 1026475669
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Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 408-781-0168
Owner/Operator City,State,Zip: CUPERTINO, CA 95014
Owner/Operator Address: 10168 DENISON AVE
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: ELLEN WU
Owner/Operator Indicator: Operator
Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 408-781-0168
Owner/Operator City,State,Zip: CUPERTINO, CA 95014
Owner/Operator Address: 10168 DENISON AVE
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: ELLEN WU
Owner/Operator Indicator: Owner
Handler - Owner Operator:

Sub-Part P Indicator: No
Manifest Broker: No
Recycler Activity Without Storage: No
Exporter of Spent Lead Acid Batteries: No
Importer of Spent Lead Acid Batteries: No
Recognized Trader-Exporter: No
Recognized Trader-Importer: No
Handler Date of Last Change: 20200904
Financial Assurance Required: Not reported
Significant Non-Complier With a Compliance Schedule Universe: No Addressed Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Significant Non-Complier Universe: No
Groundwater Controls Indicator: N/A
Human Exposure Controls Indicator: N/A
Institutional Control Indicator: No
Environmental Control Indicator: No
Corrective Action Priority Ranking: No NCAPS ranking
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Subject to Corrective Action Universe: No
202 GPRA Corrective Action Baseline: No
2018 GPRA Renewals Baseline: Not on the Baseline
2018 GPRA Permit Baseline: Not on the Baseline
Sub-Part K Indicator: Not reported
Hazardous Secondary Material Indicator: N
Federal Facility Indicator: Not reported
Active Site State-Reg Handler: ---
Federal Universal Waste: No
Universal Waste Destination Facility: No
ELLEN WU (Continued) 1026475669
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Designated Facility Mail Zip: 94551
Designated Facility Mail City: LIVERMORE
Designated Facility Mail Street 2: ALTAMONT PASS RD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 10840
Designated Facility Name: Altamont Landfill & Resource Recovery Facility Designated Facility EPA ID: CAD981382732
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 95014
Generator Mail City: CUPERTINO
Generator Mail Street 2: Not reported
Generator Mail Street 1: 10168 DENISON AVE
Generator Mail Street Number: Not reported
Generator Location Zip: 95014
Generator Location State: CA
Generator Location City: CUPERTINO
Generator Location Street 2: Not reported
Generator Location Street 1: 10168 DENISON AVE
Generator Location Street Number: Not reported
Generator Name: Ellen Wu
Generator EPA ID: CAC003081430
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20200903
Shipped Date: 20200831
Last Updated Date: 20200923
Manifest Tracking Number: 021917228JJK
E MANIFEST:

Evaluations: No Evaluations Found
Evaluation Action Summary:

Violations: No Violations Found
Facility Has Received Notices of Violations:

NAICS Description: All Other Waste Management Services
NAICS Code: 56299
List of NAICS Codes and Descriptions:

Electronic Manifest Broker: Not reported
Non Storage Recycler Activity: Not reported
Current Record: Yes
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Not a generator, verified Handler Name: ELLEN WU
Receive Date: 20200828
Historic Generators:

ELLEN WU (Continued) 1026475669
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Consent Number: Not reported
Waste Minimization Code Description: Not reported
Waste Minimization Code: Not reported
Source Code Description: Not reported
Source Code: Not reported
Form Code Description: Not reported
Form Code: Not reported
Waste Density Unit of Measure Description: Not reported Waste Density Unit of Measure Code: Not reported
Waste Density: Not reported
Waste Type Discrepancy Indicator: N
Quantity Discrepancy Indicator: N
Waste Residue Indicator: N
Management Method Description: LANDFILL (WITH PRIOR TREATMENT AND/OR STABILIZATION) Management Method Code: H132
Non-Acute Waste Quantity, in Kilorgrams: 1523.8104
Acute Waste Quantity, in Kilograms: 0
Waste Quantity, in Kilograms: 1523.8104
Non-Acute Waste Quantity, in Tons: 1.68
Acute Waste Quantity, in Tons: 0
Waste Quantity, in Tons: 1.68
Quantity Unit of Measure Description: Cubic Yards
Quantity Unit of Measure Code: Y
Waste Quantity: 2
Container Type Description: Burlap, cloth, paper, or plastic bags Container Type Code: BA
Number of Containers: 18
Non-Hazardous Waste Description: Not reported
U.S. DOT Description: Rq, Na2212, Asbestos, 9, Pg Iii
U.S. DOT ID Number: NA2212
U.S. DOT Hazardous Indicator: Y
Waste Line Number: 1
Manifest Tracking Number: 021917228JJK
Waste Line:

Transporter Name: Uni Waste Llc
Transporter EPA ID: CAR000272773
Transporter Line Number: 2
Manifest Tracking Number: 021917228JJK
Transporter Name: Synergy Enterprises Inc
Transporter EPA ID: CAL000291177
Transporter Line Number: 1
Manifest Tracking Number: 021917228JJK
Transporter:

Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 94551
Designated Facility Location City: LIVERMORE
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: ALTAMONT PASS RD Designated Facility Location Street Number: 10840
Designated Facility Mail State: CA
ELLEN WU (Continued) 1026475669
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State Waste Codes: CA-151
Quantity Non Haz Tons: 1.68
Quantity Non Haz Kg: 1523.8104
Quantity Haz Tons: 0
Quantity Haz Kg: 0
Federal Waste Codes: Not reported
EPA Waste Indicator: N
ELLEN WU (Continued) 1026475669
Category: FEDERAL
Facility Type: PERMANENT
Facility Status: Inactive
Contact Fax: Not reported
Contact Phone: Not reported
City,State,Zip: WOONSOCKET, RI 28956146
Contact Address 2: Not reported
Contact Address: 1 CVS DRIVE
Contact Name: NICOLE WILKINSON
Owner Fax: Not reported
Owner Phone: Not reported
Owner City,State,Zip: WOONSOCKET, RI 2895
Owner Address 2: Not reported
Owner Address: 1 CVS DR MC 2340
Owner Name: LONGS DRUG STORES CALIFORNIA LLC
Mailing City,State,Zip: WOONSOCKET, RI 2895
Mailing Address 2: Not reported
Mailing Address: 1 CVS DR MC2340
Mailing Name: Not reported
Last Act Date: Not reported
Create Date: 02/03/2017
Inactive Date: 07/30/2021
EPA ID: CAR000269852
City,State,Zip: CUPERTINO, CA 95014
Address 2: Not reported
Address: 19499 STEVENS CREEK BLVD STE B
Name: CVS PHARMACY #17687
HWTS:

Facility ID: FA0286738
Record ID: PR0429984
Longitude: -122.0111249
Latitude: 37.3234011
Program Identifier: DEH PERMIT-HAZ WASTE GENERATOR PROGRAM Program Description: GENERATES 5 TO <25 TONS/YEAR
PE#: 2206
UDF Email: [email protected]
Telephone: Not reported
Region: SANTA CLARA
City,State,Zip: CUPERTINO, CA 95014
Address: 19499 STEVENS CREEK BL
Name: TARGET STORE #3224
CUPA SANTA CLARA:
1105 ft. Site 1 of 5 in cluster N

0.209 mi.

Relative:

Lower
Actual:
185 ft.
1/8-1/4 CUPERTINO, CA 95014 HAZNET
East 19499 STEVENS CREEK BLVD STE B N/A HWTS
N97 CVS PHARMACY #17687 CUPA Listings S121474953
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CA Waste Code: 311 - Pharmaceutical waste
TSD EPA ID: MID980615298
Gepaid: CAR000269852
Year: 2020
Tons: 0.0195
Treatment/Reovery (H010-H129) Or (H131-H135)
Disposal Method: H141 - Storage, Bulking, And/Or Transfer Off Site--No CA Waste Code: 311 - Pharmaceutical waste
TSD EPA ID: CAD980884183
Gepaid: CAR000269852
Year: 2020
Tons: 0.0015
Treatment/Reovery (H010-H129) Or (H131-H135)
Disposal Method: H141 - Storage, Bulking, And/Or Transfer Off Site--No CA Waste Code: 311 - Pharmaceutical waste
TSD EPA ID: MID980615298
Gepaid: CAR000269852
Year: 2021
Tons: 0.01
Treatment/Reovery (H010-H129) Or (H131-H135)
Disposal Method: H141 - Storage, Bulking, And/Or Transfer Off Site--No CA Waste Code: 311 - Pharmaceutical waste
TSD EPA ID: NVD980895338
Gepaid: CAR000269852
Year: 2021
Mailing Address: 1 CVS DR MC2340
Mailing Name: Not reported
Telephone: 4017707132
Contact: NICOLE WILKINSON
City,State,Zip: CUPERTINO, CA 95014
Address 2: Not reported
Address: 19499 STEVENS CREEK BLVD STE B
Name: CVS PHARMACY #17687
HAZNET:

Facility Zip: 95014
Facility State: CA
Facility County: Not reported
Facility City: CUPERTINO
Facility Address 2: Not reported
Facility Address: 19499 STEVENS CREEK BLVD STE B
Facility Name: CVS PHARMACY #17687
Inactive Date: Not reported
Issued EPA ID Date: 2017-02-03 10:25:27.09700
NAICS Description: Not Otherwise Specified
NAICS Code: 99999
Create Date: 2017-02-03 10:25:27.240
EPA ID: CAR000269852
NAICS:

Longitude: -122.0100885
Latitude: 37.323747
CVS PHARMACY #17687 (Continued) S121474953
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2 additional CA HAZNET: record(s) in the EDR Site Report.

Click this hyperlink while viewing on your computer to access Tons: 0.00300
Treatment/Reovery (H010-H129) Or (H131-H135)
Disposal Method: H141 - Storage, Bulking, And/Or Transfer Off Site--No CA Waste Code: 311 - Pharmaceutical waste
TSD EPA ID: INR000110197
Gepaid: CAR000269852
Year: 2018
Tons: 0.01100
Treatment/Reovery (H010-H129) Or (H131-H135)
Disposal Method: H141 - Storage, Bulking, And/Or Transfer Off Site--No CA Waste Code: 311 - Pharmaceutical waste
TSD EPA ID: CAD008364432
Gepaid: CAR000269852
Year: 2018
Tons: 0.00150
Treatment/Reovery (H010-H129) Or (H131-H135)
Disposal Method: H141 - Storage, Bulking, And/Or Transfer Off Site--No CA Waste Code: 311 - Pharmaceutical waste
TSD EPA ID: INR000110197
Gepaid: CAR000269852
Year: 2019
Tons: 0.00700
Treatment/Reovery (H010-H129) Or (H131-H135)
Disposal Method: H141 - Storage, Bulking, And/Or Transfer Off Site--No CA Waste Code: 311 - Pharmaceutical waste
TSD EPA ID: CAD008364432
Gepaid: CAR000269852
Year: 2019
Tons: 0.0005
Treatment/Reovery (H010-H129) Or (H131-H135)
Disposal Method: H141 - Storage, Bulking, And/Or Transfer Off Site--No CA Waste Code: 214 - Unspecified solvent mixture
TSD EPA ID: NVD980895338
Gepaid: CAR000269852
Year: 2020
Tons: 0.0005
Treatment/Reovery (H010-H129) Or (H131-H135)
Disposal Method: H141 - Storage, Bulking, And/Or Transfer Off Site--No CA Waste Code: 311 - Pharmaceutical waste
TSD EPA ID: INR000110197
Gepaid: CAR000269852
Year: 2020
Tons: 0.008
Treatment/Reovery (H010-H129) Or (H131-H135)
Disposal Method: H141 - Storage, Bulking, And/Or Transfer Off Site--No CVS PHARMACY #17687 (Continued) S121474953
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Transporter 2 Emergency Number: Not reported
Transporter Name 2: Not reported
Transporter 2 EPA ID: Not reported
Transporter 1 Emergency Number: Not reported
Transporter Name: Stericycle Specialty Waste Solutions Inc Transporter 1 EPA ID: MNS000110924
Contact Email: Not reported
Contact Telephone: 916-351-0980
Contact: Not reported
Telephone: Not reported
City,State,Zip: CUPERTINO, CA
Address 2: Not reported
Address: 19499 STEVENS CREEK BLVD
Name: CVS (SIS)
Generator EPA ID: CAR000269852
Manifest Number: 015048052FLE
Receipt Date: 9/30/2020
Shipment Date: 9/4/2020
Shipment Date: 9/4/2020
EM Manifest ID: Not reported
Year: 2021
Quantity Unit: P
Waste Quantity: 1
Quantity Tons: 0.0005
Meth Code: H141 - Not reported
RCRA Code: P001
Waste Code Description: 311 - Not reported
TSDFA EPA ID: Not reported
TSDF Telephone: Not reported
TSDF City,State,Zip: Rancho Cordova, CA 95742
TSDF Address 2: Not reported
TSDF Address 1: 11855 White Rock Road
TSDF Name: GEM Rancho Cordova LLC
TSDF EPA ID: CAD980884183
Transporter 2 Emergency Number: Not reported
Transporter Name 2: Not reported
Transporter 2 EPA ID: Not reported
Transporter 1 Emergency Number: Not reported
Transporter Name: Stericycle Specialty Waste Solutions Inc Transporter 1 EPA ID: MNS000110924
Contact Email: Not reported
Contact Telephone: 916-351-0980
Contact: Not reported
Telephone: Not reported
City,State,Zip: CUPERTINO, CA
Address 2: Not reported
Address: 19499 STEVENS CREEK BLVD
Name: CVS (SIS)
Generator EPA ID: CAR000269852
Manifest Number: 015048052FLE
Receipt Date: 9/30/2020
Shipment Date: 9/4/2020
Shipment Date: 9/4/2020
EM Manifest ID: Not reported
Year: 2021
Additional Information:

CVS PHARMACY #17687 (Continued) S121474953
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Name: CVS (SIS)
Generator EPA ID: CAR000269852
Manifest Number: 014396067FLE
Receipt Date: 9/8/2020
Shipment Date: 7/30/2020
Shipment Date: 7/30/2020
EM Manifest ID: Not reported
Year: 2021
Quantity Unit: P
Waste Quantity: 1
Quantity Tons: 0.0005
Meth Code: H141 - Not reported
RCRA Code: D001,U002
Waste Code Description: 214 - Not reported
TSDFA EPA ID: Not reported
TSDF Telephone: Not reported
TSDF City,State,Zip: Fernley, NV 89408
TSDF Address 2: Not reported
TSDF Address 1: 2095 Newlands Drive East
TSDF Name: 21st Century Environmental Management of Nevada, LLC TSDF EPA ID: NVD980895338
Transporter 2 Emergency Number: Not reported
Transporter Name 2: Not reported
Transporter 2 EPA ID: Not reported
Transporter 1 Emergency Number: Not reported
Transporter Name: Stericycle Specialty Waste Solutions Inc Transporter 1 EPA ID: MNS000110924
Contact Email: Not reported
Contact Telephone: 775-575-2760
Contact: Not reported
Telephone: Not reported
City,State,Zip: CUPERTINO, CA
Address 2: Not reported
Address: 19499 STEVENS CREEK BLVD
Name: CVS (SIS)
Generator EPA ID: CAR000269852
Manifest Number: 015048053FLE
Receipt Date: 10/2/2020
Shipment Date: 9/4/2020
Shipment Date: 9/4/2020
EM Manifest ID: Not reported
Year: 2021
Quantity Unit: P
Waste Quantity: 3
Quantity Tons: 0.0015
Meth Code: H141 - Not reported
RCRA Code: D007,D010
Waste Code Description: 311 - Not reported
TSDFA EPA ID: Not reported
TSDF Telephone: Not reported
TSDF City,State,Zip: Rancho Cordova, CA 95742
TSDF Address 2: Not reported
TSDF Address 1: 11855 White Rock Road
TSDF Name: GEM Rancho Cordova LLC
TSDF EPA ID: CAD980884183
CVS PHARMACY #17687 (Continued) S121474953
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RCRA Code: P001
Waste Code Description: 311 - Not reported
TSDFA EPA ID: Not reported
TSDF Telephone: Not reported
TSDF City,State,Zip: Rancho Cordova, CA 95742
TSDF Address 2: Not reported
TSDF Address 1: 11855 White Rock Road
TSDF Name: GEM Rancho Cordova LLC
TSDF EPA ID: CAD980884183
Transporter 2 Emergency Number: Not reported
Transporter Name 2: Stericycle Specialty Waste Solutions Inc Transporter 2 EPA ID: MNS000110924
Transporter 1 Emergency Number: Not reported
Transporter Name: Stericycle Specialty Waste Solutions Inc Transporter 1 EPA ID: MNS000110924
Contact Email: Not reported
Contact Telephone: 916-351-0980
Contact: Not reported
Telephone: Not reported
City,State,Zip: CUPERTINO, CA 95014-7106
Address 2: Not reported
Address: 19499 STEVENS CREEK BLVD
Name: CVS (SIS)
Generator EPA ID: CAR000269852
Manifest Number: 014396928FLE
Receipt Date: 7/2/2020
Shipment Date: 6/18/2020
Shipment Date: 6/18/2020
EM Manifest ID: Not reported
Year: 2021
Quantity Unit: P
Waste Quantity: 12
Quantity Tons: 0.006
Meth Code: H141 - Not reported
RCRA Code: U034
Waste Code Description: 311 - Not reported
TSDFA EPA ID: Not reported
TSDF Telephone: Not reported
TSDF City,State,Zip: Detroit, MI 48214
TSDF Address 2: Not reported
TSDF Address 1: 421 Lycaste St.

TSDF Name: Petro Chem Processing Group of Nortru LLC
TSDF EPA ID: MID980615298
Transporter 2 Emergency Number: Not reported
Transporter Name 2: Stericycle Specialty Waste Solutions Inc Transporter 2 EPA ID: MNS000110924
Transporter 1 Emergency Number: Not reported
Transporter Name: Stericycle Specialty Waste Solutions Inc Transporter 1 EPA ID: MNS000110924
Contact Email: Not reported
Contact Telephone: 313-824-5840
Contact: Not reported
Telephone: Not reported
City,State,Zip: CUPERTINO, CA 95014-7106
Address 2: Not reported
Address: 19499 STEVENS CREEK BLVD
CVS PHARMACY #17687 (Continued) S121474953
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Transporter Name: STERICYCLE SPECIALTY WASTE SOLUTIONS, INC.

Transporter 1 EPA ID: MNS000110924
Contact Email: Not reported
Contact Telephone: 408-863-0411
Contact: Not reported
Telephone: Not reported
City,State,Zip: CUPERTINO, CA 95014-7106
Address 2: Not reported
Address: 19499 STEVENS CREEK BLVD
Name: CVS PHARMACY #17687
Generator EPA ID: CAR000269852
Manifest Number: 014396574FLE
Receipt Date: 5/13/2020
Shipment Date: 4/2/2020
Shipment Date: 4/2/2020
EM Manifest ID: Not reported
Year: 2021
Quantity Unit: P
Waste Quantity: 4
Quantity Tons: 0.002
Meth Code: H141 - Not reported
RCRA Code: D007,D010
Waste Code Description: 311 - Not reported
TSDFA EPA ID: Not reported
TSDF Telephone: Not reported
TSDF City,State,Zip: Rancho Cordova, CA 95742
TSDF Address 2: Not reported
TSDF Address 1: 11855 White Rock Road
TSDF Name: GEM Rancho Cordova LLC
TSDF EPA ID: CAD980884183
Transporter 2 Emergency Number: Not reported
Transporter Name 2: Stericycle Specialty Waste Solutions Inc Transporter 2 EPA ID: MNS000110924
Transporter 1 Emergency Number: Not reported
Transporter Name: Stericycle Specialty Waste Solutions Inc Transporter 1 EPA ID: MNS000110924
Contact Email: Not reported
Contact Telephone: 916-351-0980
Contact: Not reported
Telephone: Not reported
City,State,Zip: CUPERTINO, CA 95014-7106
Address 2: Not reported
Address: 19499 STEVENS CREEK BLVD
Name: CVS (SIS)
Generator EPA ID: CAR000269852
Manifest Number: 014396928FLE
Receipt Date: 7/2/2020
Shipment Date: 6/18/2020
Shipment Date: 6/18/2020
EM Manifest ID: Not reported
Year: 2021
Quantity Unit: P
Waste Quantity: 1
Quantity Tons: 0.0005
Meth Code: H141 - Not reported
CVS PHARMACY #17687 (Continued) S121474953
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Shipment Date: 4/2/2020
Shipment Date: 4/2/2020
EM Manifest ID: Not reported
Year: 2021
Quantity Unit: P
Waste Quantity: 8
Quantity Tons: 0.004
Meth Code: H141 - Not reported
RCRA Code: D007,D010
Waste Code Description: 311 - Not reported
TSDFA EPA ID: Not reported
TSDF Telephone: Not reported
TSDF City,State,Zip: Rancho Cordova, CA 95742
TSDF Address 2: Not reported
TSDF Address 1: 11855 White Rock Road
TSDF Name: GEM Rancho Cordova LLC
TSDF EPA ID: CAD980884183
Transporter 2 Emergency Number: Not reported
Transporter Name 2: Stericycle Specialty Waste Solutions Inc Transporter 2 EPA ID: MNS000110924
Transporter 1 Emergency Number: Not reported
Transporter Name: Stericycle Specialty Waste Solutions Inc Transporter 1 EPA ID: MNS000110924
Contact Email: Not reported
Contact Telephone: 916-351-0980
Contact: Not reported
Telephone: Not reported
City,State,Zip: CUPERTINO, CA 95014-7106
Address 2: Not reported
Address: 19499 STEVENS CREEK BLVD
Name: CVS (SIS)
Generator EPA ID: CAR000269852
Manifest Number: 014396573FLE
Receipt Date: 4/17/2020
Shipment Date: 4/2/2020
Shipment Date: 4/2/2020
EM Manifest ID: Not reported
Year: 2021
Quantity Unit: P
Waste Quantity: 1
Quantity Tons: 0.0005
Meth Code: H141 - Not reported
RCRA Code: U034
Waste Code Description: 311 - Not reported
TSDFA EPA ID: Not reported
TSDF Telephone: Not reported
TSDF City,State,Zip: DETROIT, MI 48214
TSDF Address 2: Not reported
TSDF Address 1: LYCASTE ST
TSDF Name: PETRO-CHEM PROCESSING GROUP OF NORTRU LLC
TSDF EPA ID: MID980615298
Transporter 2 Emergency Number: Not reported
Transporter Name 2: BED ROCK INC DBA TRI STATE MOTOR TRANSIT CO Transporter 2 EPA ID: MOD095038998
Transporter 1 Emergency Number: Not reported
CVS PHARMACY #17687 (Continued) S121474953
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TSDF City,State,Zip: Rancho Cordova, CA 95742
TSDF Address 2: Not reported
TSDF Address 1: 11855 White Rock Road
TSDF Name: GEM Rancho Cordova LLC
TSDF EPA ID: CAD980884183
Transporter 2 Emergency Number: Not reported
Transporter Name 2: Not reported
Transporter 2 EPA ID: Not reported
Transporter 1 Emergency Number: Not reported
Transporter Name: Stericycle Specialty Waste Solutions Inc Transporter 1 EPA ID: MNS000110924
Contact Email: Not reported
Contact Telephone: 916-351-0980
Contact: Not reported
Telephone: Not reported
City,State,Zip: CUPERTINO, CA
Address 2: Not reported
Address: 19499 STEVENS CREEK BLVD
Name: CVS (SIS)
Generator EPA ID: CAR000269852
Manifest Number: 015596948FLE
Receipt Date: 12/14/2020
Shipment Date: 11/18/2020
Shipment Date: 11/18/2020
EM Manifest ID: Not reported
Year: 2021
Quantity Unit: P
Waste Quantity: 1
Quantity Tons: 0.0005
Meth Code: H141 - Not reported
RCRA Code: P001
Waste Code Description: 311 - Not reported
TSDFA EPA ID: Not reported
TSDF Telephone: Not reported
TSDF City,State,Zip: Rancho Cordova, CA 95742
TSDF Address 2: Not reported
TSDF Address 1: 11855 White Rock Road
TSDF Name: GEM Rancho Cordova LLC
TSDF EPA ID: CAD980884183
Transporter 2 Emergency Number: Not reported
Transporter Name 2: Stericycle Specialty Waste Solutions Inc Transporter 2 EPA ID: MNS000110924
Transporter 1 Emergency Number: Not reported
Transporter Name: Stericycle Specialty Waste Solutions Inc Transporter 1 EPA ID: MNS000110924
Contact Email: Not reported
Contact Telephone: 916-351-0980
Contact: Not reported
Telephone: Not reported
City,State,Zip: CUPERTINO, CA 95014-7106
Address 2: Not reported
Address: 19499 STEVENS CREEK BLVD
Name: CVS (SIS)
Generator EPA ID: CAR000269852
Manifest Number: 014396573FLE
Receipt Date: 4/17/2020
CVS PHARMACY #17687 (Continued) S121474953
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Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Telephone: Not reported
City,State,Zip: CUPERTINO, CA
Address 2: Not reported
Address: 19499 STEVENS CREEK BLVD
Name: CVS (SIS)
Generator EPA ID: CAR000269852
Manifest Number: 015048052FLE
Receipt Date: 9/30/2020
Shipment Date: 9/4/2020
Shipment Date: 9/4/2020
EM Manifest ID: Not reported
Year: 2020
Quantity Unit: P
Waste Quantity: 1
Quantity Tons: 0.0005
Meth Code: H141 - Not reported
RCRA Code: D001,U002
Waste Code Description: 214 - Not reported
TSDFA EPA ID: Not reported
TSDF Telephone: Not reported
TSDF City,State,Zip: Fernley, NV 89408
TSDF Address 2: Not reported
TSDF Address 1: 2095 Newlands Drive East
TSDF Name: 21st Century Environmental Management of Nevada, LLC TSDF EPA ID: NVD980895338
Transporter 2 Emergency Number: Not reported
Transporter Name 2: Not reported
Transporter 2 EPA ID: Not reported
Transporter 1 Emergency Number: Not reported
Transporter Name: Stericycle Specialty Waste Solutions Inc Transporter 1 EPA ID: MNS000110924
Contact Email: Not reported
Contact Telephone: 775-575-2760
Contact: Not reported
Telephone: Not reported
City,State,Zip: CUPERTINO, CA
Address 2: Not reported
Address: 19499 STEVENS CREEK BLVD
Name: CVS (SIS)
Generator EPA ID: CAR000269852
Manifest Number: 015048053FLE
Receipt Date: 10/2/2020
Shipment Date: 9/4/2020
Shipment Date: 9/4/2020
EM Manifest ID: Not reported
Year: 2020
Additional Information:

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