Cities Index.
E - Categorical Exemption Memorandum

Cupertino City Council
December 16, 2025

Document
E - Categorical Exemption Memorandum
Meeting
December 16, 2025
Body
Cupertino City Council
Pages
71
Original file
27.9 MB
Text extracted from the city's file for reading and search. Open the original on legistar.granicus.com. That file is the official record.

GARDENS OF FOUNTAINBLEU (Continued) 1028899696
TC07984167.2r Page 366
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
ServiceOrigin Type:

DataImage5CopySubmission Type:

SignedManifest Status:
20231208Received Date:
20231204Shipped Date:
20231227Last Updated Date:
024367024JJKManifest Tracking Number:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

CADesignated Facility Location State:
94551Designated Facility Location Zip:

LIVERMOREDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:

ALTAMONT PASS RDDesignated Facility Location Street 1:
10840Designated Facility Location Street Number:

CADesignated Facility Mail State:
94551Designated Facility Mail Zip:

LIVERMOREDesignated Facility Mail City:

ALTAMONT PASS RDDesignated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:
10840Designated Facility Mail Street Number:

Altamont Landfill & Resource Recovery FacilityDesignated Facility Name:

CAD981382732Designated Facility EPA ID:

Not reportedGenerator Contact Company Name:

CAGenerator Mail State:
94401Generator Mail Zip:

SAN MATEOGenerator Mail City:

SUITE 4000Generator Mail Street 2:
1 NORTH B STREETGenerator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
10200 MILLER AVEGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Gardens Of FountainbleuGenerator Name:

CAC003261424Generator EPA ID:

ServiceOrigin Type:

DataImage5CopySubmission Type:

SignedManifest Status:
20231129Received Date:
20231127Shipped Date:
20231215Last Updated Date:
018744351FLEManifest Tracking Number:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

CADesignated Facility Location State:
94551Designated Facility Location Zip:

LIVERMOREDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:

ALTAMONT PASS RDDesignated Facility Location Street 1:
10840Designated Facility Location Street Number:

GARDENS OF FOUNTAINBLEU (Continued) 1028899696
TC07984167.2r Page 367
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Altamont Landfill & Resource Recovery FacilityDesignated Facility Name:

CAD981382732Designated Facility EPA ID:

Not reportedGenerator Contact Company Name:

CAGenerator Mail State:
94401Generator Mail Zip:

SAN MATEOGenerator Mail City:

SUITE 4000Generator Mail Street 2:
1 NORTH B STREETGenerator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
10200 MILLER AVEGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Gardens Of FountainbleuGenerator Name:

CAC003261424Generator EPA ID:

ServiceOrigin Type:

DataImage5CopySubmission Type:

SignedManifest Status:
20231208Received Date:
20231204Shipped Date:
20231227Last Updated Date:
024367024JJKManifest Tracking Number:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

CADesignated Facility Location State:
94551Designated Facility Location Zip:

LIVERMOREDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:

ALTAMONT PASS RDDesignated Facility Location Street 1:
10840Designated Facility Location Street Number:

CADesignated Facility Mail State:
94551Designated Facility Mail Zip:

LIVERMOREDesignated Facility Mail City:

ALTAMONT PASS RDDesignated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:
10840Designated Facility Mail Street Number:

Altamont Landfill & Resource Recovery FacilityDesignated Facility Name:

CAD981382732Designated Facility EPA ID:

Not reportedGenerator Contact Company Name:

CAGenerator Mail State:
94401Generator Mail Zip:

SAN MATEOGenerator Mail City:

SUITE 4000Generator Mail Street 2:
1 NORTH B STREETGenerator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
10200 MILLER AVEGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Gardens Of FountainbleuGenerator Name:

CAC003261424Generator EPA ID:

GARDENS OF FOUNTAINBLEU (Continued) 1028899696
TC07984167.2r Page 368
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
024367049JJKManifest Tracking Number:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

CADesignated Facility Location State:
94551Designated Facility Location Zip:

LIVERMOREDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:

ALTAMONT PASS RDDesignated Facility Location Street 1:
10840Designated Facility Location Street Number:

CADesignated Facility Mail State:
94551Designated Facility Mail Zip:

LIVERMOREDesignated Facility Mail City:

ALTAMONT PASS RDDesignated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:
10840Designated Facility Mail Street Number:

Altamont Landfill & Resource Recovery FacilityDesignated Facility Name:

CAD981382732Designated Facility EPA ID:

Not reportedGenerator Contact Company Name:

CAGenerator Mail State:
94401Generator Mail Zip:

SAN MATEOGenerator Mail City:

SUITE 4000Generator Mail Street 2:
1 NORTH B STREETGenerator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
10200 MILLER AVEGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Gardens Of FountainbleuGenerator Name:

CAC003261424Generator EPA ID:

ServiceOrigin Type:

DataImage5CopySubmission Type:

SignedManifest Status:
20231227Received Date:
20231226Shipped Date:
20240116Last Updated Date:
024367049JJKManifest Tracking Number:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

CADesignated Facility Location State:
94551Designated Facility Location Zip:

LIVERMOREDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:

ALTAMONT PASS RDDesignated Facility Location Street 1:
10840Designated Facility Location Street Number:

CADesignated Facility Mail State:
94551Designated Facility Mail Zip:

LIVERMOREDesignated Facility Mail City:

ALTAMONT PASS RDDesignated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:
10840Designated Facility Mail Street Number:

GARDENS OF FOUNTAINBLEU (Continued) 1028899696
TC07984167.2r Page 369
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
SUITE 4000Generator Mail Street 2:
1 NORTH B STREETGenerator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
10200 MILLER AVEGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Gardens Of FountainbleuGenerator Name:

CAC003290066Generator EPA ID:

WebOrigin Type:

DataImage5CopySubmission Type:

SignedManifest Status:
20240614Received Date:
20240610Shipped Date:
20240621Last Updated Date:
024367405JJKManifest Tracking Number:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

CADesignated Facility Location State:
94551Designated Facility Location Zip:

LIVERMOREDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:

ALTAMONT PASS RDDesignated Facility Location Street 1:
10840Designated Facility Location Street Number:

CADesignated Facility Mail State:
94551Designated Facility Mail Zip:

LIVERMOREDesignated Facility Mail City:

ALTAMONT PASS RDDesignated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:
10840Designated Facility Mail Street Number:

Altamont Landfill & Resource Recovery FacilityDesignated Facility Name:

CAD981382732Designated Facility EPA ID:

Not reportedGenerator Contact Company Name:

CAGenerator Mail State:
94401Generator Mail Zip:

SAN MATEOGenerator Mail City:

SUITE 4000Generator Mail Street 2:
1 NORTH B STREETGenerator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
10200 MILLER AVEGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Gardens Of FountainbleuGenerator Name:

CAC003261424Generator EPA ID:

ServiceOrigin Type:

DataImage5CopySubmission Type:

SignedManifest Status:
20231227Received Date:
20231226Shipped Date:
20240116Last Updated Date:

GARDENS OF FOUNTAINBLEU (Continued) 1028899696
TC07984167.2r Page 370
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
95366Designated Facility Location Zip:

MANTECADesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:

SOUTH AUSTIN ROADDesignated Facility Location Street 1:
9999Designated Facility Location Street Number:

CADesignated Facility Mail State:
95336Designated Facility Mail Zip:

MANTECADesignated Facility Mail City:

SOUTH AUSTIN ROADDesignated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:
9999Designated Facility Mail Street Number:

Forward Landfill Inc DisposalDesignated Facility Name:

CAL000190080Designated Facility EPA ID:

Not reportedGenerator Contact Company Name:

CAGenerator Mail State:
94401Generator Mail Zip:

SAN MATEOGenerator Mail City:

SUITE 4000Generator Mail Street 2:
1 NORTH B STREETGenerator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
10200 MILLER AVEGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Gardens Of FountainbleuGenerator Name:

CAC003290066Generator EPA ID:

WebOrigin Type:

DataImage5CopySubmission Type:

SignedManifest Status:
20240614Received Date:
20240610Shipped Date:
20240621Last Updated Date:
024367405JJKManifest Tracking Number:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

CADesignated Facility Location State:
95366Designated Facility Location Zip:

MANTECADesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:

SOUTH AUSTIN ROADDesignated Facility Location Street 1:
9999Designated Facility Location Street Number:

CADesignated Facility Mail State:
95336Designated Facility Mail Zip:

MANTECADesignated Facility Mail City:

SOUTH AUSTIN ROADDesignated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:
9999Designated Facility Mail Street Number:

Forward Landfill Inc DisposalDesignated Facility Name:

CAL000190080Designated Facility EPA ID:

Not reportedGenerator Contact Company Name:

CAGenerator Mail State:
94401Generator Mail Zip:

SAN MATEOGenerator Mail City:

GARDENS OF FOUNTAINBLEU (Continued) 1028899696
TC07984167.2r Page 371
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Not reportedGenerator Location Street 2:
10200 MILLER AVEGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Gardens Of FountainbleuGenerator Name:

CAC003290066Generator EPA ID:

ServiceOrigin Type:

DataImage5CopySubmission Type:

SignedManifest Status:
20240626Received Date:
20240614Shipped Date:
20240627Last Updated Date:
024367418JJKManifest Tracking Number:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

CADesignated Facility Location State:
94551Designated Facility Location Zip:

LIVERMOREDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:

ALTAMONT PASS RDDesignated Facility Location Street 1:
10840Designated Facility Location Street Number:

CADesignated Facility Mail State:
94551Designated Facility Mail Zip:

LIVERMOREDesignated Facility Mail City:

ALTAMONT PASS RDDesignated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:
10840Designated Facility Mail Street Number:

Altamont Landfill & Resource Recovery FacilityDesignated Facility Name:

CAD981382732Designated Facility EPA ID:

Not reportedGenerator Contact Company Name:

CAGenerator Mail State:
94401Generator Mail Zip:

SAN MATEOGenerator Mail City:

SUITE 4000Generator Mail Street 2:
1 NORTH B STREETGenerator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
10200 MILLER AVEGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Gardens Of FountainbleuGenerator Name:

CAC003290066Generator EPA ID:

ServiceOrigin Type:

DataImage5CopySubmission Type:

SignedManifest Status:
20240626Received Date:
20240614Shipped Date:
20240627Last Updated Date:
024367418JJKManifest Tracking Number:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

CADesignated Facility Location State:

GARDENS OF FOUNTAINBLEU (Continued) 1028899696
TC07984167.2r Page 372
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
95336Designated Facility Mail Zip:

MANTECADesignated Facility Mail City:

SOUTH AUSTIN ROADDesignated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:
9999Designated Facility Mail Street Number:

Forward Landfill Inc DisposalDesignated Facility Name:

CAL000190080Designated Facility EPA ID:

Not reportedGenerator Contact Company Name:

CAGenerator Mail State:
94401Generator Mail Zip:

SAN MATEOGenerator Mail City:

SUITE 4000Generator Mail Street 2:
1 NORTH B STREETGenerator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
10200 MILLER AVEGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Gardens Of FountainbleuGenerator Name:

CAC003290066Generator EPA ID:

WebOrigin Type:

DataImage5CopySubmission Type:

SignedManifest Status:
20240820Received Date:
20240802Shipped Date:
20240822Last Updated Date:
024367495JJKManifest Tracking Number:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

CADesignated Facility Location State:
94551Designated Facility Location Zip:

LIVERMOREDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:

ALTAMONT PASS RDDesignated Facility Location Street 1:
10840Designated Facility Location Street Number:

CADesignated Facility Mail State:
94551Designated Facility Mail Zip:

LIVERMOREDesignated Facility Mail City:

ALTAMONT PASS RDDesignated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:
10840Designated Facility Mail Street Number:

Altamont Landfill & Resource Recovery FacilityDesignated Facility Name:

CAD981382732Designated Facility EPA ID:

Not reportedGenerator Contact Company Name:

CAGenerator Mail State:
94401Generator Mail Zip:

SAN MATEOGenerator Mail City:

SUITE 4000Generator Mail Street 2:
1 NORTH B STREETGenerator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

GARDENS OF FOUNTAINBLEU (Continued) 1028899696
TC07984167.2r Page 373
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Not reportedConsent Number:

Not reportedWaste Minimization Code Description:

Not reportedWaste Minimization Code:

Not reportedSource Code Description:

Not reportedSource Code:

Not reportedForm Code Description:

Not reportedForm Code:

Not reportedWaste Density Unit of Measure Description:

Not reportedWaste Density Unit of Measure Code:

Not reportedWaste Density:

NWaste Type Discrepancy Indicator:

NQuantity Discrepancy Indicator:

NWaste Residue Indicator:

LANDFILL (WITH PRIOR TREATMENT AND/OR STABILIZATION)Management Method Description:

H132Management Method Code:
5333.3364Non-Acute Waste Quantity, in Kilorgrams:
0Acute Waste Quantity, in Kilograms:
5333.3364Waste Quantity, in Kilograms:

5.88Non-Acute Waste Quantity, in Tons:
0Acute Waste Quantity, in Tons:

5.88Waste Quantity, in Tons:

Cubic YardsQuantity Unit of Measure Description:

YQuantity Unit of Measure Code:
7Waste Quantity:

Burlap, cloth, paper, or plastic bagsContainer Type Description:

BAContainer Type Code:
69Number of Containers:

Not reportedNon-Hazardous Waste Description:

Rq Na2212, Asbestos, 9, Pg IiiU.S. DOT Description:

NA2212U.S. DOT ID Number:

YU.S. DOT Hazardous Indicator:
1Waste Line Number:
024367495JJKManifest Tracking Number:

Waste Line:

Naman TruckingTransporter Name:

CAR000154740Transporter EPA ID:
2Transporter Line Number:
024367495JJKManifest Tracking Number:

Preferred Restoration IncTransporter Name:

CAL000469233Transporter EPA ID:
1Transporter Line Number:
024367495JJKManifest Tracking Number:

Transporter:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

CADesignated Facility Location State:
95366Designated Facility Location Zip:

MANTECADesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:

SOUTH AUSTIN ROADDesignated Facility Location Street 1:
9999Designated Facility Location Street Number:

CADesignated Facility Mail State:

GARDENS OF FOUNTAINBLEU (Continued) 1028899696
TC07984167.2r Page 374
MAP FINDINGSMap ID
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EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
4 additional US EManifest: record(s) in the EDR Site Report.

Click this hyperlink while viewing on your computer to access CA-151State Waste Codes:

5.88Quantity Non Haz Tons:
5333.3364Quantity Non Haz Kg:
0Quantity Haz Tons:
0Quantity Haz Kg:

Not reportedFederal Waste Codes:

NEPA Waste Indicator:

GARDENS OF FOUNTAINBLEU (Continued) 1028899696
NoFederal Universal Waste:

NoUniversal Waste Destination Facility:

NoUniversal Waste Indicator:

NoOff-Site Waste Receipt:

NoUnderground Injection Control:

NoSmelting Melting and Refining Furnace Exemption:

NoSmall Quantity On-Site Burner Exemption:

NoRecycler Activity with Storage:

NoTransfer Facility Activity:

NoTransporter Activity:

NoMixed Waste Generator:

NoImporter Activity:

NoShort-Term Generator Activity:

Not reportedOperator Type:

Not reportedOperator Name:

Not reportedOwner Type:

Not reportedOwner Name:

Not reportedMailing City,State,Zip:

Not reportedMailing Address:

Not reportedState District:

Not reportedState District Owner:

Not reportedActive Site Indicator:

Not reportedAccessibility:

Not reportedBiennial Report Cycle:

Not reportedNon-Notifier:

Not a generator, verifiedFederal Waste Generator Description:

Not reportedLand Type:
09EPA Region:

Not reportedContact Title:

[email protected] Email:

Not reportedContact Fax:
650-931-3400Contact Telephone:

SAN MATEO, CA 94401Contact City,State,Zip:
1 NORTH B STREETContact Address:

VICTOR FERNANDEZContact Name:

CAC003274393EPA ID:

CUPERTINO, CA 95014Handler City,State,Zip:
10200 Miller MaveHandler Address:

Gardens Of FountainbleuHandler Name:
20240522Date Form Received by Agency:

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 E MANIFEST10200 MILLER MAVE CAC003274393
L91 RCRA NonGen / NLRGARDENS OF FOUNTAINBLEU 1031047417 TC07984167.2r Page 375
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
20240221Receive Date:

Historic Generators:

Not reportedOwner/Operator Email:

Not reportedOwner/Operator Fax:

Not reportedOwner/Operator Telephone Ext:
650-931-3400Owner/Operator Telephone:

SAN MATEO, CA 94401Owner/Operator City,State,Zip:
1 NORTH B STREETOwner/Operator Address:

Not reportedDate Ended Current:

Not reportedDate Became Current:

OtherLegal Status:

PREG EMERSON, LLCOwner/Operator Name:

OwnerOwner/Operator Indicator:

Not reportedOwner/Operator Email:

Not reportedOwner/Operator Fax:

Not reportedOwner/Operator Telephone Ext:
650-931-3400Owner/Operator Telephone:

SAN MATEO, CA 94401Owner/Operator City,State,Zip:
1 NORTH B STREETOwner/Operator Address:

Not reportedDate Ended Current:

Not reportedDate Became Current:

OtherLegal Status:

VICTOR FERNANDEZOwner/Operator Name:

OperatorOwner/Operator Indicator:

Handler - Owner Operator:

NoSub-Part P Indicator:

NoManifest Broker:

NoRecycler Activity Without Storage:

NoExporter of Spent Lead Acid Batteries:

NoImporter of Spent Lead Acid Batteries:

NoRecognized Trader-Exporter:

NoRecognized Trader-Importer:
20240918Handler Date of Last Change:

Not reportedFinancial Assurance Required:

NoSignificant Non-Complier With a Compliance Schedule Universe:

NoAddressed Significant Non-Complier Universe:

NoUnaddressed Significant Non-Complier Universe:

NoSignificant Non-Complier Universe:

N/AGroundwater Controls Indicator:

N/AHuman Exposure Controls Indicator:

NoInstitutional Control Indicator:

NoEnvironmental Control Indicator:

No NCAPS rankingCorrective Action Priority Ranking:

NoNon-TSDFs Where RCRA CA has Been Imposed Universe:

NoSubject to Corrective Action Universe:

No202 GPRA Corrective Action Baseline:

Not on the Baseline2018 GPRA Renewals Baseline:

Not on the Baseline2018 GPRA Permit Baseline:

Not reportedSub-Part K Indicator:

NHazardous Secondary Material Indicator:

Not reportedFederal Facility Indicator:
---Active Site State-Reg Handler:

GARDENS OF FOUNTAINBLEU (Continued) 1031047417
TC07984167.2r Page 376
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
SUITE 4000Generator Mail Street 2:
1 NORTH B STREETGenerator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
10200 MILLER MAVEGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Gardens Of FountainbleuGenerator Name:

CAC003274393Generator EPA ID:

WebOrigin Type:

DataImage5CopySubmission Type:

SignedManifest Status:
20240312Received Date:
20240301Shipped Date:
20240318Last Updated Date:
024367187JJKManifest Tracking Number:

E MANIFEST:

No Evaluations FoundEvaluations:

Evaluation Action Summary:

No Violations FoundViolations:

Facility Has Received Notices of Violations:

Lessors Of Residential Buildings And DwellingsNAICS Description:
53111NAICS Code:

List of NAICS Codes and Descriptions:

NoElectronic Manifest Broker:

NoNon Storage Recycler Activity:

YesCurrent Record:

NoSpent Lead Acid Battery Exporter:

NoSpent Lead Acid Battery Importer:

NoRecognized Trader Exporter:

NoRecognized Trader Importer:

NoLarge Quantity Handler of Universal Waste:

Not reportedState District Owner:

Not a generator, verifiedFederal Waste Generator Description:

GARDENS OF FOUNTAINBLEUHandler Name:
20240522Receive Date:

NoElectronic Manifest Broker:

NoNon Storage Recycler Activity:

NoCurrent Record:

NoSpent Lead Acid Battery Exporter:

NoSpent Lead Acid Battery Importer:

NoRecognized Trader Exporter:

NoRecognized Trader Importer:

NoLarge Quantity Handler of Universal Waste:

Not reportedState District Owner:

Not a generator, verifiedFederal Waste Generator Description:

GARDENS OF FOUNTAINBLEUHandler Name:

GARDENS OF FOUNTAINBLEU (Continued) 1031047417
TC07984167.2r Page 377
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
95366Designated Facility Location Zip:

MANTECADesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:

SOUTH AUSTIN ROADDesignated Facility Location Street 1:
9999Designated Facility Location Street Number:

CADesignated Facility Mail State:
95336Designated Facility Mail Zip:

MANTECADesignated Facility Mail City:

SOUTH AUSTIN ROADDesignated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:
9999Designated Facility Mail Street Number:

Forward Landfill Inc DisposalDesignated Facility Name:

CAL000190080Designated Facility EPA ID:

Not reportedGenerator Contact Company Name:

CAGenerator Mail State:
94401Generator Mail Zip:

SAN MATEOGenerator Mail City:

SUITE 4000Generator Mail Street 2:
1 NORTH B STREETGenerator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
10200 MILLER MAVEGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Gardens Of FountainbleuGenerator Name:

CAC003274393Generator EPA ID:

WebOrigin Type:

DataImage5CopySubmission Type:

SignedManifest Status:
20240328Received Date:
20240326Shipped Date:
20240402Last Updated Date:
024367248JJKManifest Tracking Number:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

CADesignated Facility Location State:
95366Designated Facility Location Zip:

MANTECADesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:

SOUTH AUSTIN ROADDesignated Facility Location Street 1:
9999Designated Facility Location Street Number:

CADesignated Facility Mail State:
95336Designated Facility Mail Zip:

MANTECADesignated Facility Mail City:

SOUTH AUSTIN ROADDesignated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:
9999Designated Facility Mail Street Number:

Forward Landfill Inc DisposalDesignated Facility Name:

CAL000190080Designated Facility EPA ID:

Not reportedGenerator Contact Company Name:

CAGenerator Mail State:
94401Generator Mail Zip:

SAN MATEOGenerator Mail City:

GARDENS OF FOUNTAINBLEU (Continued) 1031047417
TC07984167.2r Page 378
MAP FINDINGSMap ID
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EPA ID NumberDatabase(s)SiteElevation

32.76Quantity Non Haz Tons:
29714.303Quantity Non Haz Kg:

Not reportedQuantity Haz Tons:

Not reportedQuantity Haz Kg:

Not reportedFederal Waste Codes:

NEPA Waste Indicator:

Not reportedConsent Number:

Not reportedWaste Minimization Code Description:

Not reportedWaste Minimization Code:

Not reportedSource Code Description:

Not reportedSource Code:

Not reportedForm Code Description:

Not reportedForm Code:

Not reportedWaste Density Unit of Measure Description:

Not reportedWaste Density Unit of Measure Code:

Not reportedWaste Density:

NWaste Type Discrepancy Indicator:

NQuantity Discrepancy Indicator:

NWaste Residue Indicator:

LANDFILL (WITH PRIOR TREATMENT AND/OR STABILIZATION)Management Method Description:

H132Management Method Code:
29714.303Non-Acute Waste Quantity, in Kilorgrams:
0Acute Waste Quantity, in Kilograms:
29714.303Waste Quantity, in Kilograms:

32.76Non-Acute Waste Quantity, in Tons:
0Acute Waste Quantity, in Tons:

32.76Waste Quantity, in Tons:

Cubic YardsQuantity Unit of Measure Description:

YQuantity Unit of Measure Code:
39Waste Quantity:

Burlap, cloth, paper, or plastic bagsContainer Type Description:

BAContainer Type Code:
384Number of Containers:

Not reportedNon-Hazardous Waste Description:

Rq Na2212, Asbestos, 9, Pg IiiU.S. DOT Description:

NA2212U.S. DOT ID Number:

YU.S. DOT Hazardous Indicator:
1Waste Line Number:
024367248JJKManifest Tracking Number:

Waste Line:

Naman TruckingTransporter Name:

CAR000154740Transporter EPA ID:
2Transporter Line Number:
024367248JJKManifest Tracking Number:

Preferred Restoration IncTransporter Name:

CAL000469233Transporter EPA ID:
1Transporter Line Number:
024367248JJKManifest Tracking Number:

Transporter:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

CADesignated Facility Location State:

GARDENS OF FOUNTAINBLEU (Continued) 1031047417
TC07984167.2r Page 379
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
CA-151State Waste Codes:

GARDENS OF FOUNTAINBLEU (Continued) 1031047417
NoNon-TSDFs Where RCRA CA has Been Imposed Universe:

NoSubject to Corrective Action Universe:

No202 GPRA Corrective Action Baseline:

Not on the Baseline2018 GPRA Renewals Baseline:

Not on the Baseline2018 GPRA Permit Baseline:

Not reportedSub-Part K Indicator:

NHazardous Secondary Material Indicator:

Not reportedFederal Facility Indicator:
---Active Site State-Reg Handler:

NoFederal Universal Waste:

NoUniversal Waste Destination Facility:

NoUniversal Waste Indicator:

NoOff-Site Waste Receipt:

NoUnderground Injection Control:

NoSmelting Melting and Refining Furnace Exemption:

NoSmall Quantity On-Site Burner Exemption:

NoRecycler Activity with Storage:

NoTransfer Facility Activity:

NoTransporter Activity:

NoMixed Waste Generator:

NoImporter Activity:

NoShort-Term Generator Activity:

Not reportedOperator Type:

Not reportedOperator Name:

Not reportedOwner Type:

Not reportedOwner Name:

Not reportedMailing City,State,Zip:

Not reportedMailing Address:

Not reportedState District:

Not reportedState District Owner:

Not reportedActive Site Indicator:

Not reportedAccessibility:

Not reportedBiennial Report Cycle:

Not reportedNon-Notifier:

Not a generator, verifiedFederal Waste Generator Description:

Not reportedLand Type:
09EPA Region:

Not reportedContact Title:

[email protected] Email:

Not reportedContact Fax:
408-242-1243Contact Telephone:

CUPERTINO, CA 95014Contact City,State,Zip:
10154 DENISON AVENUEContact Address:

MASATO KAIDAContact Name:

CAC003254947EPA ID:

CUPERTINO, CA 95014Handler City,State,Zip:
10154 Denison AvenueHandler Address:

Masato KaidaHandler Name:
20240918Date Form Received by Agency:

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 E MANIFEST10154 DENISON AVENUE CAC003254947
M92 RCRA NonGen / NLRMASATO KAIDA 1028893655
TC07984167.2r Page 380
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
NoCurrent Record:

NoSpent Lead Acid Battery Exporter:

NoSpent Lead Acid Battery Importer:

NoRecognized Trader Exporter:

NoRecognized Trader Importer:

NoLarge Quantity Handler of Universal Waste:

Not reportedState District Owner:

Not a generator, verifiedFederal Waste Generator Description:

MASATO KAIDAHandler Name:
20231004Receive Date:

Historic Generators:

Not reportedOwner/Operator Email:

Not reportedOwner/Operator Fax:

Not reportedOwner/Operator Telephone Ext:
408-242-1243Owner/Operator Telephone:

CUPERTINO, CA 95014Owner/Operator City,State,Zip:
10154 DENISON AVENUEOwner/Operator Address:

Not reportedDate Ended Current:

Not reportedDate Became Current:

OtherLegal Status:

MASATO KAIDAOwner/Operator Name:

OperatorOwner/Operator Indicator:

Not reportedOwner/Operator Email:

Not reportedOwner/Operator Fax:

Not reportedOwner/Operator Telephone Ext:
408-242-1243Owner/Operator Telephone:

CUPERTINO, CA 95014Owner/Operator City,State,Zip:
10154 DENISON AVENUEOwner/Operator Address:

Not reportedDate Ended Current:

Not reportedDate Became Current:

OtherLegal Status:

MASATO KAIDAOwner/Operator Name:

OwnerOwner/Operator Indicator:

Handler - Owner Operator:

NoSub-Part P Indicator:

NoManifest Broker:

NoRecycler Activity Without Storage:

NoExporter of Spent Lead Acid Batteries:

NoImporter of Spent Lead Acid Batteries:

NoRecognized Trader-Exporter:

NoRecognized Trader-Importer:
20240918Handler Date of Last Change:

Not reportedFinancial Assurance Required:

NoSignificant Non-Complier With a Compliance Schedule Universe:

NoAddressed Significant Non-Complier Universe:

NoUnaddressed Significant Non-Complier Universe:

NoSignificant Non-Complier Universe:

N/AGroundwater Controls Indicator:

N/AHuman Exposure Controls Indicator:

NoInstitutional Control Indicator:

NoEnvironmental Control Indicator:

No NCAPS rankingCorrective Action Priority Ranking:

MASATO KAIDA (Continued) 1028893655
TC07984167.2r Page 381
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
ALTAMONT PASS RDDesignated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:
10840Designated Facility Mail Street Number:

Altamont Landfill & Resource Recovery FacilityDesignated Facility Name:

CAD981382732Designated Facility EPA ID:

Not reportedGenerator Contact Company Name:

CAGenerator Mail State:
95014Generator Mail Zip:

CUPERTINOGenerator Mail City:

Not reportedGenerator Mail Street 2:
10154 DENISON AVENUEGenerator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
10154 DENISON AVENUEGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Masato KaidaGenerator Name:

CAC003254947Generator EPA ID:

ServiceOrigin Type:

DataImage5CopySubmission Type:

SignedManifest Status:
20231010Received Date:
20231005Shipped Date:
20231026Last Updated Date:
025760520JJKManifest Tracking Number:

E MANIFEST:

No Evaluations FoundEvaluations:

Evaluation Action Summary:

No Violations FoundViolations:

Facility Has Received Notices of Violations:

All Other Waste Management ServicesNAICS Description:
56299NAICS Code:

List of NAICS Codes and Descriptions:

NoElectronic Manifest Broker:

NoNon Storage Recycler Activity:

YesCurrent Record:

NoSpent Lead Acid Battery Exporter:

NoSpent Lead Acid Battery Importer:

NoRecognized Trader Exporter:

NoRecognized Trader Importer:

NoLarge Quantity Handler of Universal Waste:

Not reportedState District Owner:

Not a generator, verifiedFederal Waste Generator Description:

MASATO KAIDAHandler Name:
20240918Receive Date:

NoElectronic Manifest Broker:

NoNon Storage Recycler Activity:

MASATO KAIDA (Continued) 1028893655
TC07984167.2r Page 382
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Not reportedWaste Minimization Code:

Not reportedSource Code Description:

Not reportedSource Code:

Not reportedForm Code Description:

Not reportedForm Code:

Not reportedWaste Density Unit of Measure Description:

Not reportedWaste Density Unit of Measure Code:

Not reportedWaste Density:

NWaste Type Discrepancy Indicator:

NQuantity Discrepancy Indicator:

NWaste Residue Indicator:

LANDFILL (WITH PRIOR TREATMENT AND/OR STABILIZATION)Management Method Description:

H132Management Method Code:
761.9052Non-Acute Waste Quantity, in Kilorgrams:
0Acute Waste Quantity, in Kilograms:
761.9052Waste Quantity, in Kilograms:

0.84Non-Acute Waste Quantity, in Tons:
0Acute Waste Quantity, in Tons:

0.84Waste Quantity, in Tons:

Cubic YardsQuantity Unit of Measure Description:

YQuantity Unit of Measure Code:
1Waste Quantity:

Burlap, cloth, paper, or plastic bagsContainer Type Description:

BAContainer Type Code:
7Number of Containers:

Not reportedNon-Hazardous Waste Description:

Na2212, Asbestos, 9, Pg Iii, RqU.S. DOT Description:

NA2212U.S. DOT ID Number:

YU.S. DOT Hazardous Indicator:
1Waste Line Number:
025760520JJKManifest Tracking Number:

Waste Line:

Advanced Chemical Transport Inc. Dba ActenviroTransporter Name:

CAR000070540Transporter EPA ID:
2Transporter Line Number:
025760520JJKManifest Tracking Number:

Synergy Ee IncTransporter Name:

CAL000438487Transporter EPA ID:
1Transporter Line Number:
025760520JJKManifest Tracking Number:

Transporter:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

CADesignated Facility Location State:
94551Designated Facility Location Zip:

LIVERMOREDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:

ALTAMONT PASS RDDesignated Facility Location Street 1:
10840Designated Facility Location Street Number:

CADesignated Facility Mail State:
94551Designated Facility Mail Zip:

LIVERMOREDesignated Facility Mail City:

MASATO KAIDA (Continued) 1028893655
TC07984167.2r Page 383
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
CA-151State Waste Codes:

0.84Quantity Non Haz Tons:
761.9052Quantity Non Haz Kg:

Not reportedQuantity Haz Tons:

Not reportedQuantity Haz Kg:

Not reportedFederal Waste Codes:

NEPA Waste Indicator:

Not reportedConsent Number:

Not reportedWaste Minimization Code Description:

MASATO KAIDA (Continued) 1028893655
---Active Site State-Reg Handler:

NoFederal Universal Waste:

NoUniversal Waste Destination Facility:

NoUniversal Waste Indicator:

NoOff-Site Waste Receipt:

NoUnderground Injection Control:

NoSmelting Melting and Refining Furnace Exemption:

NoSmall Quantity On-Site Burner Exemption:

NoRecycler Activity with Storage:

NoTransfer Facility Activity:

NoTransporter Activity:

NoMixed Waste Generator:

NoImporter Activity:

NoShort-Term Generator Activity:

OtherOperator Type:

Zhen LiOperator Name:

OtherOwner Type:

Zhen LiOwner Name:

CUPERTINO, CA 95014Mailing City,State,Zip:
19773 WINTERGREEN DRMailing Address:

Not reportedState District:

Not reportedState District Owner:

Not reportedActive Site Indicator:

Not reportedAccessibility:

Not reportedBiennial Report Cycle:

Not reportedNon-Notifier:

Not a generator, verifiedFederal Waste Generator Description:

Not reportedLand Type:
09EPA Region:

Not reportedContact Title:

[email protected] Email:

Not reportedContact Fax:
650-862-3278Contact Telephone:

CUPERTINO, CA 95014Contact City,State,Zip:
19773 WINTERGREEN DRContact Address:

ZHEN LIContact Name:

CAC003150175EPA ID:

CUPERTINO, CA 95014Handler City,State,Zip:
19773 Wintergreen DrHandler Address:
19773 Wintergreen DrHandler Name:
20211124Date Form Received by Agency:

RCRA Listings:
1023 ft.

0.194 mi.

Relative:

Higher
Actual:
210 ft.

1/8-1/4 CUPERTINO, CA 95014
SW E MANIFEST19773 WINTERGREEN DR CAC003150175
93 RCRA NonGen / NLRZHEN LI 1027078292
TC07984167.2r Page 384
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
19773 WINTERGREEN DRHandler Name:
20211124Receive Date:

Historic Generators:

Not reportedOwner/Operator Email:

Not reportedOwner/Operator Fax:

Not reportedOwner/Operator Telephone Ext:
650-862-3278Owner/Operator Telephone:

CUPERTINO, CA 95014Owner/Operator City,State,Zip:
19773 WINTERGREEN DROwner/Operator Address:

Not reportedDate Ended Current:

Not reportedDate Became Current:

OtherLegal Status:

ZHEN LIOwner/Operator Name:

OperatorOwner/Operator Indicator:

Not reportedOwner/Operator Email:

Not reportedOwner/Operator Fax:

Not reportedOwner/Operator Telephone Ext:
650-862-3278Owner/Operator Telephone:

CUPERTINO, CA 95014Owner/Operator City,State,Zip:
19773 WINTERGREEN DROwner/Operator Address:

Not reportedDate Ended Current:

Not reportedDate Became Current:

OtherLegal Status:

ZHEN LIOwner/Operator Name:

OwnerOwner/Operator Indicator:

Handler - Owner Operator:

NoSub-Part P Indicator:

NoManifest Broker:

NoRecycler Activity Without Storage:

NoExporter of Spent Lead Acid Batteries:

NoImporter of Spent Lead Acid Batteries:

NoRecognized Trader-Exporter:

NoRecognized Trader-Importer:
20241211Handler Date of Last Change:

Not reportedFinancial Assurance Required:

NoSignificant Non-Complier With a Compliance Schedule Universe:

NoAddressed Significant Non-Complier Universe:

NoUnaddressed Significant Non-Complier Universe:

NoSignificant Non-Complier Universe:

N/AGroundwater Controls Indicator:

N/AHuman Exposure Controls Indicator:

NoInstitutional Control Indicator:

NoEnvironmental Control Indicator:

No NCAPS rankingCorrective Action Priority Ranking:

NoNon-TSDFs Where RCRA CA has Been Imposed Universe:

NoSubject to Corrective Action Universe:

No202 GPRA Corrective Action Baseline:

Not on the Baseline2018 GPRA Renewals Baseline:

Not on the Baseline2018 GPRA Permit Baseline:

Not reportedSub-Part K Indicator:

NHazardous Secondary Material Indicator:

Not reportedFederal Facility Indicator:

ZHEN LI (Continued) 1027078292
TC07984167.2r Page 385
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
ALTAMONT PASS RDDesignated Facility Location Street 1:
10840Designated Facility Location Street Number:

CADesignated Facility Mail State:
94551Designated Facility Mail Zip:

LIVERMOREDesignated Facility Mail City:

ALTAMONT PASS RDDesignated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:
10840Designated Facility Mail Street Number:

Altamont Landfill & Resource Recovery FacilityDesignated Facility Name:

CAD981382732Designated Facility EPA ID:

Not reportedGenerator Contact Company Name:

CAGenerator Mail State:
95014Generator Mail Zip:

CUPERTINOGenerator Mail City:

Not reportedGenerator Mail Street 2:
19773 WINTERGREEN DRGenerator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
19773 WINTERGREEN DRGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Zhen LiGenerator Name:

CAC003150175Generator EPA ID:

ServiceOrigin Type:

DataImage5CopySubmission Type:

SignedManifest Status:
20211206Received Date:
20211203Shipped Date:
20211221Last Updated Date:
020986088JJKManifest Tracking Number:

E MANIFEST:

No Evaluations FoundEvaluations:

Evaluation Action Summary:

No Violations FoundViolations:

Facility Has Received Notices of Violations:

All Other Waste Management ServicesNAICS Description:
56299NAICS Code:

List of NAICS Codes and Descriptions:

NoElectronic Manifest Broker:

NoNon Storage Recycler Activity:

YesCurrent Record:

NoSpent Lead Acid Battery Exporter:

NoSpent Lead Acid Battery Importer:

NoRecognized Trader Exporter:

NoRecognized Trader Importer:

NoLarge Quantity Handler of Universal Waste:

Not reportedState District Owner:

Not a generator, verifiedFederal Waste Generator Description:

ZHEN LI (Continued) 1027078292
TC07984167.2r Page 386
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
0Quantity Haz Kg:

Not reportedFederal Waste Codes:

NEPA Waste Indicator:

Not reportedConsent Number:

Not reportedWaste Minimization Code Description:

Not reportedWaste Minimization Code:

Not reportedSource Code Description:

Not reportedSource Code:

Not reportedForm Code Description:

Not reportedForm Code:

Not reportedWaste Density Unit of Measure Description:

Not reportedWaste Density Unit of Measure Code:

Not reportedWaste Density:

NWaste Type Discrepancy Indicator:

NQuantity Discrepancy Indicator:

NWaste Residue Indicator:

LANDFILL (WITH PRIOR TREATMENT AND/OR STABILIZATION)Management Method Description:

H132Management Method Code:
761.9052Non-Acute Waste Quantity, in Kilorgrams:
0Acute Waste Quantity, in Kilograms:
761.9052Waste Quantity, in Kilograms:

0.84Non-Acute Waste Quantity, in Tons:
0Acute Waste Quantity, in Tons:

0.84Waste Quantity, in Tons:

Cubic YardsQuantity Unit of Measure Description:

YQuantity Unit of Measure Code:
1Waste Quantity:

Burlap, cloth, paper, or plastic bagsContainer Type Description:

BAContainer Type Code:
2Number of Containers:

Not reportedNon-Hazardous Waste Description:

Na2212, Asbestos, 9, Pg Iii, RqU.S. DOT Description:

NA2212U.S. DOT ID Number:

YU.S. DOT Hazardous Indicator:
1Waste Line Number:
020986088JJKManifest Tracking Number:

Waste Line:

Ferma Greenbox IncTransporter Name:

CAR000273680Transporter EPA ID:
2Transporter Line Number:
020986088JJKManifest Tracking Number:

Jwh Asbestos Removal ServicesTransporter Name:

CAL000450184Transporter EPA ID:
1Transporter Line Number:
020986088JJKManifest Tracking Number:

Transporter:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

CADesignated Facility Location State:
94551Designated Facility Location Zip:

LIVERMOREDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:

ZHEN LI (Continued) 1027078292
TC07984167.2r Page 387
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
CA-151State Waste Codes:

0.84Quantity Non Haz Tons:
761.9052Quantity Non Haz Kg:
0Quantity Haz Tons:

ZHEN LI (Continued) 1027078292
Not on the Baseline2018 GPRA Renewals Baseline:

Not on the Baseline2018 GPRA Permit Baseline:

Not reportedSub-Part K Indicator:

NHazardous Secondary Material Indicator:

Not reportedFederal Facility Indicator:
---Active Site State-Reg Handler:

NoFederal Universal Waste:

NoUniversal Waste Destination Facility:

NoUniversal Waste Indicator:

NoOff-Site Waste Receipt:

NoUnderground Injection Control:

NoSmelting Melting and Refining Furnace Exemption:

NoSmall Quantity On-Site Burner Exemption:

NoRecycler Activity with Storage:

NoTransfer Facility Activity:

NoTransporter Activity:

NoMixed Waste Generator:

NoImporter Activity:

NoShort-Term Generator Activity:

OtherOperator Type:

Chen, YinghogOperator Name:

OtherOwner Type:

Chen, YinghogOwner Name:

CUPERTINO, CA 95014-2426Mailing City,State,Zip:
10153 DENISON AVEMailing Address:

Not reportedState District:

Not reportedState District Owner:

Not reportedActive Site Indicator:

Not reportedAccessibility:

Not reportedBiennial Report Cycle:

Not reportedNon-Notifier:

Not a generator, verifiedFederal Waste Generator Description:

Not reportedLand Type:
09EPA Region:

Not reportedContact Title:

[email protected] Email:

Not reportedContact Fax:
408-931-1408Contact Telephone:

CUPERTINO, CA 95014-2426Contact City,State,Zip:
10153 DENISON AVEContact Address:

CHEN, YINGHOGContact Name:

CAC003043422EPA ID:

CUPERTINO, CA 95014-2426Handler City,State,Zip:
10153 Denison AveHandler Address:
10153 Denison AveHandler Name:
20191115Date Form Received by Agency:

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 RCRA NonGen / NLR10153 DENISON AVE 1025862691
TC07984167.2r Page 388
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
NoRecognized Trader Exporter:

NoRecognized Trader Importer:

NoLarge Quantity Handler of Universal Waste:

Not reportedState District Owner:

Not a generator, verifiedFederal Waste Generator Description:
10153 DENISON AVEHandler Name:
20191115Receive Date:

Historic Generators:

Not reportedOwner/Operator Email:

Not reportedOwner/Operator Fax:

Not reportedOwner/Operator Telephone Ext:
408-931-1408Owner/Operator Telephone:

CUPERTINO, CA 95014-2426Owner/Operator City,State,Zip:
10153 DENISON AVEOwner/Operator Address:

Not reportedDate Ended Current:

Not reportedDate Became Current:

OtherLegal Status:

CHEN, YINGHOGOwner/Operator Name:

OwnerOwner/Operator Indicator:

Not reportedOwner/Operator Email:

Not reportedOwner/Operator Fax:

Not reportedOwner/Operator Telephone Ext:
408-931-1408Owner/Operator Telephone:

CUPERTINO, CA 95014-2426Owner/Operator City,State,Zip:
10153 DENISON AVEOwner/Operator Address:

Not reportedDate Ended Current:

Not reportedDate Became Current:

OtherLegal Status:

CHEN, YINGHOGOwner/Operator Name:

OperatorOwner/Operator Indicator:

Handler - Owner Operator:

NoSub-Part P Indicator:

NoManifest Broker:

NoRecycler Activity Without Storage:

NoExporter of Spent Lead Acid Batteries:

NoImporter of Spent Lead Acid Batteries:

NoRecognized Trader-Exporter:

NoRecognized Trader-Importer:
20241211Handler Date of Last Change:

Not reportedFinancial Assurance Required:

NoSignificant Non-Complier With a Compliance Schedule Universe:

NoAddressed Significant Non-Complier Universe:

NoUnaddressed Significant Non-Complier Universe:

NoSignificant Non-Complier Universe:

N/AGroundwater Controls Indicator:

N/AHuman Exposure Controls Indicator:

NoInstitutional Control Indicator:

NoEnvironmental Control Indicator:

No NCAPS rankingCorrective Action Priority Ranking:

NoNon-TSDFs Where RCRA CA has Been Imposed Universe:

NoSubject to Corrective Action Universe:

No202 GPRA Corrective Action Baseline:
10153 DENISON AVE (Continued) 1025862691
TC07984167.2r Page 389
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
No Evaluations FoundEvaluations:

Evaluation Action Summary:

No Violations FoundViolations:

Facility Has Received Notices of Violations:

All Other Waste Management ServicesNAICS Description:
56299NAICS Code:

List of NAICS Codes and Descriptions:

NoElectronic Manifest Broker:

NoNon Storage Recycler Activity:

YesCurrent Record:

NoSpent Lead Acid Battery Exporter:

NoSpent Lead Acid Battery Importer:
10153 DENISON AVE (Continued) 1025862691
NoTransfer Facility Activity:

NoTransporter Activity:

NoMixed Waste Generator:

NoImporter Activity:

NoShort-Term Generator Activity:

OtherOperator Type:

Chrystal Silva DuenowOperator Name:

OtherOwner Type:

Chrystal Silva DuenowOwner Name:

CUPERTINO, CA 95014Mailing City,State,Zip:
10277 COLD HARBOR AVENUEMailing Address:

Not reportedState District:

Not reportedState District Owner:

Not reportedActive Site Indicator:

Not reportedAccessibility:

Not reportedBiennial Report Cycle:

Not reportedNon-Notifier:

Not a generator, verifiedFederal Waste Generator Description:

Not reportedLand Type:
09EPA Region:

Not reportedContact Title:

[email protected] Email:

Not reportedContact Fax:
408-665-5704Contact Telephone:

CUPERTINO, CA 95014Contact City,State,Zip:
10277 COLD HARBOR AVENUEContact Address:

CHRYSTAL SILVA DUENOWContact Name:

CAC003185617EPA ID:

CUPERTINO, CA 95014Handler City,State,Zip:
10277 Cold Harbor AvenueHandler Address:
10277 Cold Harbor AvenueHandler Name:
20220715Date Form Received by Agency:

RCRA Listings:
1033 ft.

0.196 mi.

Relative:

Higher
Actual:
212 ft.

1/8-1/4 CUPERTINO, CA 95014
SW E MANIFEST10277 COLD HARBOR AVENUE CAC003185617
95 RCRA NonGen / NLRCHRYSTAL SILVA DUENOW 1027447943
TC07984167.2r Page 390
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
CUPERTINO, CA 95014Owner/Operator City,State,Zip:
10277 COLD HARBOR AVENUEOwner/Operator Address:

Not reportedDate Ended Current:

Not reportedDate Became Current:

OtherLegal Status:

CHRYSTAL SILVA DUENOWOwner/Operator Name:

OperatorOwner/Operator Indicator:

Not reportedOwner/Operator Email:

Not reportedOwner/Operator Fax:

Not reportedOwner/Operator Telephone Ext:
408-665-5704Owner/Operator Telephone:

CUPERTINO, CA 95014Owner/Operator City,State,Zip:
10277 COLD HARBOR AVENUEOwner/Operator Address:

Not reportedDate Ended Current:

Not reportedDate Became Current:

OtherLegal Status:

CHRYSTAL SILVA DUENOWOwner/Operator Name:

OwnerOwner/Operator Indicator:

Handler - Owner Operator:

NoSub-Part P Indicator:

NoManifest Broker:

NoRecycler Activity Without Storage:

NoExporter of Spent Lead Acid Batteries:

NoImporter of Spent Lead Acid Batteries:

NoRecognized Trader-Exporter:

NoRecognized Trader-Importer:
20241212Handler Date of Last Change:

Not reportedFinancial Assurance Required:

NoSignificant Non-Complier With a Compliance Schedule Universe:

NoAddressed Significant Non-Complier Universe:

NoUnaddressed Significant Non-Complier Universe:

NoSignificant Non-Complier Universe:

N/AGroundwater Controls Indicator:

N/AHuman Exposure Controls Indicator:

NoInstitutional Control Indicator:

NoEnvironmental Control Indicator:

No NCAPS rankingCorrective Action Priority Ranking:

NoNon-TSDFs Where RCRA CA has Been Imposed Universe:

NoSubject to Corrective Action Universe:

No202 GPRA Corrective Action Baseline:

Not on the Baseline2018 GPRA Renewals Baseline:

Not on the Baseline2018 GPRA Permit Baseline:

Not reportedSub-Part K Indicator:

NHazardous Secondary Material Indicator:

Not reportedFederal Facility Indicator:
---Active Site State-Reg Handler:

NoFederal Universal Waste:

NoUniversal Waste Destination Facility:

NoUniversal Waste Indicator:

NoOff-Site Waste Receipt:

NoUnderground Injection Control:

NoSmelting Melting and Refining Furnace Exemption:

NoSmall Quantity On-Site Burner Exemption:

NoRecycler Activity with Storage:

CHRYSTAL SILVA DUENOW (Continued) 1027447943
TC07984167.2r Page 391
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Forward Landfill Inc DisposalDesignated Facility Name:

CAL000190080Designated Facility EPA ID:

Not reportedGenerator Contact Company Name:

CAGenerator Mail State:
95014Generator Mail Zip:

CUPERTINOGenerator Mail City:

Not reportedGenerator Mail Street 2:
10277 COLD HARBOR AVENUEGenerator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
10277 COLD HARBOR AVENUEGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Chrystal Silva DuenowGenerator Name:

CAC003185617Generator EPA ID:

WebOrigin Type:

DataImage5CopySubmission Type:

SignedManifest Status:
20220727Received Date:
20220716Shipped Date:
20220802Last Updated Date:
023652725JJKManifest Tracking Number:

E MANIFEST:

No Evaluations FoundEvaluations:

Evaluation Action Summary:

No Violations FoundViolations:

Facility Has Received Notices of Violations:

All Other Waste Management ServicesNAICS Description:
56299NAICS Code:

List of NAICS Codes and Descriptions:

NoElectronic Manifest Broker:

NoNon Storage Recycler Activity:

YesCurrent Record:

NoSpent Lead Acid Battery Exporter:

NoSpent Lead Acid Battery Importer:

NoRecognized Trader Exporter:

NoRecognized Trader Importer:

NoLarge Quantity Handler of Universal Waste:

Not reportedState District Owner:

Not a generator, verifiedFederal Waste Generator Description:
10277 COLD HARBOR AVENUEHandler Name:
20220715Receive Date:

Historic Generators:

Not reportedOwner/Operator Email:

Not reportedOwner/Operator Fax:

Not reportedOwner/Operator Telephone Ext:
408-665-5704Owner/Operator Telephone:

CHRYSTAL SILVA DUENOW (Continued) 1027447943
TC07984167.2r Page 392
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Not reportedForm Code Description:

Not reportedForm Code:

Not reportedWaste Density Unit of Measure Description:

Not reportedWaste Density Unit of Measure Code:

Not reportedWaste Density:

NWaste Type Discrepancy Indicator:

NQuantity Discrepancy Indicator:

NWaste Residue Indicator:

LANDFILL (WITH PRIOR TREATMENT AND/OR STABILIZATION)Management Method Description:

H132Management Method Code:
761.9052Non-Acute Waste Quantity, in Kilorgrams:
0Acute Waste Quantity, in Kilograms:
761.9052Waste Quantity, in Kilograms:

0.84Non-Acute Waste Quantity, in Tons:
0Acute Waste Quantity, in Tons:

0.84Waste Quantity, in Tons:

Cubic YardsQuantity Unit of Measure Description:

YQuantity Unit of Measure Code:
1Waste Quantity:

Burlap, cloth, paper, or plastic bagsContainer Type Description:

BAContainer Type Code:
15Number of Containers:

Not reportedNon-Hazardous Waste Description:

Rq Na2212, Asbestos, 9, PgiiiU.S. DOT Description:

NA2212U.S. DOT ID Number:

YU.S. DOT Hazardous Indicator:
1Waste Line Number:
023652725JJKManifest Tracking Number:

Waste Line:

E C T ITransporter Name:

CAR000049064Transporter EPA ID:
2Transporter Line Number:
023652725JJKManifest Tracking Number:

Alliance Evironmental GroupTransporter Name:

CAL000160111Transporter EPA ID:
1Transporter Line Number:
023652725JJKManifest Tracking Number:

Transporter:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

CADesignated Facility Location State:
95366Designated Facility Location Zip:

MANTECADesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:

SOUTH AUSTIN ROADDesignated Facility Location Street 1:
9999Designated Facility Location Street Number:

CADesignated Facility Mail State:
95336Designated Facility Mail Zip:

MANTECADesignated Facility Mail City:

SOUTH AUSTIN ROADDesignated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:
9999Designated Facility Mail Street Number:

CHRYSTAL SILVA DUENOW (Continued) 1027447943
TC07984167.2r Page 393
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
CA-151State Waste Codes:

0.84Quantity Non Haz Tons:
761.9052Quantity Non Haz Kg:
0Quantity Haz Tons:
0Quantity Haz Kg:

Not reportedFederal Waste Codes:

NEPA Waste Indicator:

Not reportedConsent Number:

Not reportedWaste Minimization Code Description:

Not reportedWaste Minimization Code:

Not reportedSource Code Description:

Not reportedSource Code:

CHRYSTAL SILVA DUENOW (Continued) 1027447943
NoUniversal Waste Indicator:

NoOff-Site Waste Receipt:

NoUnderground Injection Control:

NoSmelting Melting and Refining Furnace Exemption:

NoSmall Quantity On-Site Burner Exemption:

NoRecycler Activity with Storage:

NoTransfer Facility Activity:

NoTransporter Activity:

NoMixed Waste Generator:

NoImporter Activity:

NoShort-Term Generator Activity:

OtherOperator Type:

Ellen WuOperator Name:

OtherOwner Type:

Ellen WuOwner Name:

CUPERTINO, CA 95014Mailing City,State,Zip:
10168 DENISON AVEMailing Address:

Not reportedState District:

Not reportedState District Owner:

Not reportedActive Site Indicator:

Not reportedAccessibility:

Not reportedBiennial Report Cycle:

Not reportedNon-Notifier:

Not a generator, verifiedFederal Waste Generator Description:

Not reportedLand Type:
09EPA Region:

Not reportedContact Title:

[email protected] Email:

Not reportedContact Fax:
408-781-0168Contact Telephone:

CUPERTINO, CA 95014Contact City,State,Zip:
10168 DENISON AVEContact Address:

ELLEN WUContact Name:

CAC003081430EPA ID:

CUPERTINO, CA 95014Handler City,State,Zip:
10168 Denison AveHandler Address:

Ellen WuHandler Name:
20200828Date Form Received by Agency:

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 E MANIFEST10168 DENISON AVE CAC003081430
M96 RCRA NonGen / NLRELLEN WU 1026475669
TC07984167.2r Page 394
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Not reportedOwner/Operator Email:

Not reportedOwner/Operator Fax:

Not reportedOwner/Operator Telephone Ext:
408-781-0168Owner/Operator Telephone:

CUPERTINO, CA 95014Owner/Operator City,State,Zip:
10168 DENISON AVEOwner/Operator Address:

Not reportedDate Ended Current:

Not reportedDate Became Current:

OtherLegal Status:

ELLEN WUOwner/Operator Name:

OperatorOwner/Operator Indicator:

Not reportedOwner/Operator Email:

Not reportedOwner/Operator Fax:

Not reportedOwner/Operator Telephone Ext:
408-781-0168Owner/Operator Telephone:

CUPERTINO, CA 95014Owner/Operator City,State,Zip:
10168 DENISON AVEOwner/Operator Address:

Not reportedDate Ended Current:

Not reportedDate Became Current:

OtherLegal Status:

ELLEN WUOwner/Operator Name:

OwnerOwner/Operator Indicator:

Handler - Owner Operator:

NoSub-Part P Indicator:

NoManifest Broker:

NoRecycler Activity Without Storage:

NoExporter of Spent Lead Acid Batteries:

NoImporter of Spent Lead Acid Batteries:

NoRecognized Trader-Exporter:

NoRecognized Trader-Importer:
20200904Handler Date of Last Change:

Not reportedFinancial Assurance Required:

NoSignificant Non-Complier With a Compliance Schedule Universe:

NoAddressed Significant Non-Complier Universe:

NoUnaddressed Significant Non-Complier Universe:

NoSignificant Non-Complier Universe:

N/AGroundwater Controls Indicator:

N/AHuman Exposure Controls Indicator:

NoInstitutional Control Indicator:

NoEnvironmental Control Indicator:

No NCAPS rankingCorrective Action Priority Ranking:

NoNon-TSDFs Where RCRA CA has Been Imposed Universe:

NoSubject to Corrective Action Universe:

No202 GPRA Corrective Action Baseline:

Not on the Baseline2018 GPRA Renewals Baseline:

Not on the Baseline2018 GPRA Permit Baseline:

Not reportedSub-Part K Indicator:

NHazardous Secondary Material Indicator:

Not reportedFederal Facility Indicator:
---Active Site State-Reg Handler:

NoFederal Universal Waste:

NoUniversal Waste Destination Facility:

ELLEN WU (Continued) 1026475669
TC07984167.2r Page 395
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
94551Designated Facility Mail Zip:

LIVERMOREDesignated Facility Mail City:

ALTAMONT PASS RDDesignated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:
10840Designated Facility Mail Street Number:

Altamont Landfill & Resource Recovery FacilityDesignated Facility Name:

CAD981382732Designated Facility EPA ID:

Not reportedGenerator Contact Company Name:

CAGenerator Mail State:
95014Generator Mail Zip:

CUPERTINOGenerator Mail City:

Not reportedGenerator Mail Street 2:
10168 DENISON AVEGenerator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
10168 DENISON AVEGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Ellen WuGenerator Name:

CAC003081430Generator EPA ID:

ServiceOrigin Type:

DataImage5CopySubmission Type:

SignedManifest Status:
20200903Received Date:
20200831Shipped Date:
20200923Last Updated Date:
021917228JJKManifest Tracking Number:

E MANIFEST:

No Evaluations FoundEvaluations:

Evaluation Action Summary:

No Violations FoundViolations:

Facility Has Received Notices of Violations:

All Other Waste Management ServicesNAICS Description:
56299NAICS Code:

List of NAICS Codes and Descriptions:

Not reportedElectronic Manifest Broker:

Not reportedNon Storage Recycler Activity:

YesCurrent Record:

NoSpent Lead Acid Battery Exporter:

NoSpent Lead Acid Battery Importer:

NoRecognized Trader Exporter:

NoRecognized Trader Importer:

NoLarge Quantity Handler of Universal Waste:

Not reportedState District Owner:

Not a generator, verifiedFederal Waste Generator Description:

ELLEN WUHandler Name:
20200828Receive Date:

Historic Generators:

ELLEN WU (Continued) 1026475669
TC07984167.2r Page 396
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Not reportedConsent Number:

Not reportedWaste Minimization Code Description:

Not reportedWaste Minimization Code:

Not reportedSource Code Description:

Not reportedSource Code:

Not reportedForm Code Description:

Not reportedForm Code:

Not reportedWaste Density Unit of Measure Description:

Not reportedWaste Density Unit of Measure Code:

Not reportedWaste Density:

NWaste Type Discrepancy Indicator:

NQuantity Discrepancy Indicator:

NWaste Residue Indicator:

LANDFILL (WITH PRIOR TREATMENT AND/OR STABILIZATION)Management Method Description:

H132Management Method Code:
1523.8104Non-Acute Waste Quantity, in Kilorgrams:
0Acute Waste Quantity, in Kilograms:
1523.8104Waste Quantity, in Kilograms:

1.68Non-Acute Waste Quantity, in Tons:
0Acute Waste Quantity, in Tons:

1.68Waste Quantity, in Tons:

Cubic YardsQuantity Unit of Measure Description:

YQuantity Unit of Measure Code:
2Waste Quantity:

Burlap, cloth, paper, or plastic bagsContainer Type Description:

BAContainer Type Code:
18Number of Containers:

Not reportedNon-Hazardous Waste Description:

Rq, Na2212, Asbestos, 9, Pg IiiU.S. DOT Description:

NA2212U.S. DOT ID Number:

YU.S. DOT Hazardous Indicator:
1Waste Line Number:
021917228JJKManifest Tracking Number:

Waste Line:

Uni Waste LlcTransporter Name:

CAR000272773Transporter EPA ID:
2Transporter Line Number:
021917228JJKManifest Tracking Number:

Synergy Enterprises IncTransporter Name:

CAL000291177Transporter EPA ID:
1Transporter Line Number:
021917228JJKManifest Tracking Number:

Transporter:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

CADesignated Facility Location State:
94551Designated Facility Location Zip:

LIVERMOREDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:

ALTAMONT PASS RDDesignated Facility Location Street 1:
10840Designated Facility Location Street Number:

CADesignated Facility Mail State:

ELLEN WU (Continued) 1026475669
TC07984167.2r Page 397
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
CA-151State Waste Codes:

1.68Quantity Non Haz Tons:
1523.8104Quantity Non Haz Kg:
0Quantity Haz Tons:
0Quantity Haz Kg:

Not reportedFederal Waste Codes:

NEPA Waste Indicator:

ELLEN WU (Continued) 1026475669
FEDERALCategory:

PERMANENTFacility Type:

InactiveFacility Status:

Not reportedContact Fax:

Not reportedContact Phone:

WOONSOCKET, RI 28956146City,State,Zip:

Not reportedContact Address 2:
1 CVS DRIVEContact Address:

NICOLE WILKINSONContact Name:

Not reportedOwner Fax:

Not reportedOwner Phone:

WOONSOCKET, RI 2895Owner City,State,Zip:

Not reportedOwner Address 2:
1 CVS DR MC 2340Owner Address:

LONGS DRUG STORES CALIFORNIA LLCOwner Name:

WOONSOCKET, RI 2895Mailing City,State,Zip:

Not reportedMailing Address 2:
1 CVS DR MC2340Mailing Address:

Not reportedMailing Name:

Not reportedLast Act Date:
02/03/2017Create Date:
07/30/2021Inactive Date:

CAR000269852EPA ID:

CUPERTINO, CA 95014City,State,Zip:

Not reportedAddress 2:
19499 STEVENS CREEK BLVD STE BAddress:

CVS PHARMACY #17687Name:

HWTS:

FA0286738Facility ID:

PR0429984Record ID:
-122.0111249Longitude:

37.3234011Latitude:

DEH PERMIT-HAZ WASTE GENERATOR PROGRAMProgram Identifier:

GENERATES 5 TO <25 TONS/YEARProgram Description:
2206PE#:

[email protected] Email:

Not reportedTelephone:

SANTA CLARARegion:

CUPERTINO, CA 95014City,State,Zip:
19499 STEVENS CREEK BLAddress:

TARGET STORE #3224Name:

CUPA SANTA CLARA:
1105 ft. Site 1 of 5 in cluster N

0.209 mi.

Relative:

Lower
Actual:
185 ft.

1/8-1/4 HAZNETCUPERTINO, CA 95014
East HWTS19499 STEVENS CREEK BLVD STE B N/A
N97 CUPA ListingsCVS PHARMACY #17687 S121474953
TC07984167.2r Page 398
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
311 - Pharmaceutical wasteCA Waste Code:

MID980615298TSD EPA ID:

CAR000269852Gepaid:
2020Year:

0.0195Tons:

Treatment/Reovery (H010-H129) Or (H131-H135)
H141 - Storage, Bulking, And/Or Transfer Off Site--NoDisposal Method:
311 - Pharmaceutical wasteCA Waste Code:

CAD980884183TSD EPA ID:

CAR000269852Gepaid:
2020Year:

0.0015Tons:

Treatment/Reovery (H010-H129) Or (H131-H135)
H141 - Storage, Bulking, And/Or Transfer Off Site--NoDisposal Method:
311 - Pharmaceutical wasteCA Waste Code:

MID980615298TSD EPA ID:

CAR000269852Gepaid:
2021Year:

0.01Tons:

Treatment/Reovery (H010-H129) Or (H131-H135)
H141 - Storage, Bulking, And/Or Transfer Off Site--NoDisposal Method:
311 - Pharmaceutical wasteCA Waste Code:

NVD980895338TSD EPA ID:

CAR000269852Gepaid:
2021Year:
1 CVS DR MC2340Mailing Address:

Not reportedMailing Name:
4017707132Telephone:

NICOLE WILKINSONContact:

CUPERTINO, CA 95014City,State,Zip:

Not reportedAddress 2:
19499 STEVENS CREEK BLVD STE BAddress:

CVS PHARMACY #17687Name:

HAZNET:
95014Facility Zip:

CAFacility State:

Not reportedFacility County:

CUPERTINOFacility City:

Not reportedFacility Address 2:
19499 STEVENS CREEK BLVD STE BFacility Address:

CVS PHARMACY #17687Facility Name:

Not reportedInactive Date:
2017-02-03 10:25:27.09700Issued EPA ID Date:

Not Otherwise SpecifiedNAICS Description:
99999NAICS Code:
2017-02-03 10:25:27.240Create Date:

CAR000269852EPA ID:

NAICS:
-122.0100885Longitude:

37.323747Latitude:

CVS PHARMACY #17687 (Continued) S121474953
TC07984167.2r Page 399
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
2 additional CA HAZNET: record(s) in the EDR Site Report.

Click this hyperlink while viewing on your computer to access

0.00300Tons:

Treatment/Reovery (H010-H129) Or (H131-H135)
H141 - Storage, Bulking, And/Or Transfer Off Site--NoDisposal Method:
311 - Pharmaceutical wasteCA Waste Code:

INR000110197TSD EPA ID:

CAR000269852Gepaid:
2018Year:

0.01100Tons:

Treatment/Reovery (H010-H129) Or (H131-H135)
H141 - Storage, Bulking, And/Or Transfer Off Site--NoDisposal Method:
311 - Pharmaceutical wasteCA Waste Code:

CAD008364432TSD EPA ID:

CAR000269852Gepaid:
2018Year:

0.00150Tons:

Treatment/Reovery (H010-H129) Or (H131-H135)
H141 - Storage, Bulking, And/Or Transfer Off Site--NoDisposal Method:
311 - Pharmaceutical wasteCA Waste Code:

INR000110197TSD EPA ID:

CAR000269852Gepaid:
2019Year:

0.00700Tons:

Treatment/Reovery (H010-H129) Or (H131-H135)
H141 - Storage, Bulking, And/Or Transfer Off Site--NoDisposal Method:
311 - Pharmaceutical wasteCA Waste Code:

CAD008364432TSD EPA ID:

CAR000269852Gepaid:
2019Year:

0.0005Tons:

Treatment/Reovery (H010-H129) Or (H131-H135)
H141 - Storage, Bulking, And/Or Transfer Off Site--NoDisposal Method:
214 - Unspecified solvent mixtureCA Waste Code:

NVD980895338TSD EPA ID:

CAR000269852Gepaid:
2020Year:

0.0005Tons:

Treatment/Reovery (H010-H129) Or (H131-H135)
H141 - Storage, Bulking, And/Or Transfer Off Site--NoDisposal Method:
311 - Pharmaceutical wasteCA Waste Code:

INR000110197TSD EPA ID:

CAR000269852Gepaid:
2020Year:

0.008Tons:

Treatment/Reovery (H010-H129) Or (H131-H135)
H141 - Storage, Bulking, And/Or Transfer Off Site--NoDisposal Method:

CVS PHARMACY #17687 (Continued) S121474953
TC07984167.2r Page 400
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Not reportedTransporter 2 Emergency Number:

Not reportedTransporter Name 2:

Not reportedTransporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Stericycle Specialty Waste Solutions IncTransporter Name:

MNS000110924Transporter 1 EPA ID:

Not reportedContact Email:
916-351-0980Contact Telephone:

Not reportedContact:

Not reportedTelephone:

CUPERTINO, CACity,State,Zip:

Not reportedAddress 2:
19499 STEVENS CREEK BLVDAddress:

CVS (SIS)Name:

CAR000269852Generator EPA ID:
015048052FLEManifest Number:
9/30/2020Receipt Date:
9/4/2020Shipment Date:
9/4/2020Shipment Date:

Not reportedEM Manifest ID:
2021Year:

PQuantity Unit:
1Waste Quantity:

0.0005Quantity Tons:

H141 - Not reportedMeth Code:

P001RCRA Code:
311 - Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:

Not reportedTSDF Telephone:

Rancho Cordova, CA 95742TSDF City,State,Zip:

Not reportedTSDF Address 2:
11855 White Rock RoadTSDF Address 1:

GEM Rancho Cordova LLCTSDF Name:

CAD980884183TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Not reportedTransporter Name 2:

Not reportedTransporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Stericycle Specialty Waste Solutions IncTransporter Name:

MNS000110924Transporter 1 EPA ID:

Not reportedContact Email:
916-351-0980Contact Telephone:

Not reportedContact:

Not reportedTelephone:

CUPERTINO, CACity,State,Zip:

Not reportedAddress 2:
19499 STEVENS CREEK BLVDAddress:

CVS (SIS)Name:

CAR000269852Generator EPA ID:
015048052FLEManifest Number:
9/30/2020Receipt Date:
9/4/2020Shipment Date:
9/4/2020Shipment Date:

Not reportedEM Manifest ID:
2021Year:

Additional Information:

CVS PHARMACY #17687 (Continued) S121474953
TC07984167.2r Page 401
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
CVS (SIS)Name:

CAR000269852Generator EPA ID:
014396067FLEManifest Number:
9/8/2020Receipt Date:
7/30/2020Shipment Date:
7/30/2020Shipment Date:

Not reportedEM Manifest ID:
2021Year:

PQuantity Unit:
1Waste Quantity:

0.0005Quantity Tons:

H141 - Not reportedMeth Code:

D001,U002RCRA Code:
214 - Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:

Not reportedTSDF Telephone:

Fernley, NV 89408TSDF City,State,Zip:

Not reportedTSDF Address 2:
2095 Newlands Drive EastTSDF Address 1:
21st Century Environmental Management of Nevada, LLCTSDF Name:

NVD980895338TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Not reportedTransporter Name 2:

Not reportedTransporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Stericycle Specialty Waste Solutions IncTransporter Name:

MNS000110924Transporter 1 EPA ID:

Not reportedContact Email:
775-575-2760Contact Telephone:

Not reportedContact:

Not reportedTelephone:

CUPERTINO, CACity,State,Zip:

Not reportedAddress 2:
19499 STEVENS CREEK BLVDAddress:

CVS (SIS)Name:

CAR000269852Generator EPA ID:
015048053FLEManifest Number:
10/2/2020Receipt Date:
9/4/2020Shipment Date:
9/4/2020Shipment Date:

Not reportedEM Manifest ID:
2021Year:

PQuantity Unit:
3Waste Quantity:

0.0015Quantity Tons:

H141 - Not reportedMeth Code:

D007,D010RCRA Code:
311 - Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:

Not reportedTSDF Telephone:

Rancho Cordova, CA 95742TSDF City,State,Zip:

Not reportedTSDF Address 2:
11855 White Rock RoadTSDF Address 1:

GEM Rancho Cordova LLCTSDF Name:

CAD980884183TSDF EPA ID:

CVS PHARMACY #17687 (Continued) S121474953
TC07984167.2r Page 402
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
P001RCRA Code:
311 - Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:

Not reportedTSDF Telephone:

Rancho Cordova, CA 95742TSDF City,State,Zip:

Not reportedTSDF Address 2:
11855 White Rock RoadTSDF Address 1:

GEM Rancho Cordova LLCTSDF Name:

CAD980884183TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Stericycle Specialty Waste Solutions IncTransporter Name 2:

MNS000110924Transporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Stericycle Specialty Waste Solutions IncTransporter Name:

MNS000110924Transporter 1 EPA ID:

Not reportedContact Email:
916-351-0980Contact Telephone:

Not reportedContact:

Not reportedTelephone:

CUPERTINO, CA 95014-7106City,State,Zip:

Not reportedAddress 2:
19499 STEVENS CREEK BLVDAddress:

CVS (SIS)Name:

CAR000269852Generator EPA ID:
014396928FLEManifest Number:
7/2/2020Receipt Date:
6/18/2020Shipment Date:
6/18/2020Shipment Date:

Not reportedEM Manifest ID:
2021Year:

PQuantity Unit:
12Waste Quantity:

0.006Quantity Tons:

H141 - Not reportedMeth Code:

U034RCRA Code:
311 - Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:

Not reportedTSDF Telephone:

Detroit, MI 48214TSDF City,State,Zip:

Not reportedTSDF Address 2:
421 Lycaste St.TSDF Address 1:

Petro Chem Processing Group of Nortru LLCTSDF Name:

MID980615298TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Stericycle Specialty Waste Solutions IncTransporter Name 2:

MNS000110924Transporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Stericycle Specialty Waste Solutions IncTransporter Name:

MNS000110924Transporter 1 EPA ID:

Not reportedContact Email:
313-824-5840Contact Telephone:

Not reportedContact:

Not reportedTelephone:

CUPERTINO, CA 95014-7106City,State,Zip:

Not reportedAddress 2:
19499 STEVENS CREEK BLVDAddress:

CVS PHARMACY #17687 (Continued) S121474953
TC07984167.2r Page 403
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
STERICYCLE SPECIALTY WASTE SOLUTIONS, INC.Transporter Name:

MNS000110924Transporter 1 EPA ID:

Not reportedContact Email:
408-863-0411Contact Telephone:

Not reportedContact:

Not reportedTelephone:

CUPERTINO, CA 95014-7106City,State,Zip:

Not reportedAddress 2:
19499 STEVENS CREEK BLVDAddress:

CVS PHARMACY #17687Name:

CAR000269852Generator EPA ID:
014396574FLEManifest Number:
5/13/2020Receipt Date:
4/2/2020Shipment Date:
4/2/2020Shipment Date:

Not reportedEM Manifest ID:
2021Year:

PQuantity Unit:
4Waste Quantity:

0.002Quantity Tons:

H141 - Not reportedMeth Code:

D007,D010RCRA Code:
311 - Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:

Not reportedTSDF Telephone:

Rancho Cordova, CA 95742TSDF City,State,Zip:

Not reportedTSDF Address 2:
11855 White Rock RoadTSDF Address 1:

GEM Rancho Cordova LLCTSDF Name:

CAD980884183TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Stericycle Specialty Waste Solutions IncTransporter Name 2:

MNS000110924Transporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Stericycle Specialty Waste Solutions IncTransporter Name:

MNS000110924Transporter 1 EPA ID:

Not reportedContact Email:
916-351-0980Contact Telephone:

Not reportedContact:

Not reportedTelephone:

CUPERTINO, CA 95014-7106City,State,Zip:

Not reportedAddress 2:
19499 STEVENS CREEK BLVDAddress:

CVS (SIS)Name:

CAR000269852Generator EPA ID:
014396928FLEManifest Number:
7/2/2020Receipt Date:
6/18/2020Shipment Date:
6/18/2020Shipment Date:

Not reportedEM Manifest ID:
2021Year:

PQuantity Unit:
1Waste Quantity:

0.0005Quantity Tons:

H141 - Not reportedMeth Code:

CVS PHARMACY #17687 (Continued) S121474953
TC07984167.2r Page 404
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
4/2/2020Shipment Date:
4/2/2020Shipment Date:

Not reportedEM Manifest ID:
2021Year:

PQuantity Unit:
8Waste Quantity:

0.004Quantity Tons:

H141 - Not reportedMeth Code:

D007,D010RCRA Code:
311 - Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:

Not reportedTSDF Telephone:

Rancho Cordova, CA 95742TSDF City,State,Zip:

Not reportedTSDF Address 2:
11855 White Rock RoadTSDF Address 1:

GEM Rancho Cordova LLCTSDF Name:

CAD980884183TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Stericycle Specialty Waste Solutions IncTransporter Name 2:

MNS000110924Transporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Stericycle Specialty Waste Solutions IncTransporter Name:

MNS000110924Transporter 1 EPA ID:

Not reportedContact Email:
916-351-0980Contact Telephone:

Not reportedContact:

Not reportedTelephone:

CUPERTINO, CA 95014-7106City,State,Zip:

Not reportedAddress 2:
19499 STEVENS CREEK BLVDAddress:

CVS (SIS)Name:

CAR000269852Generator EPA ID:
014396573FLEManifest Number:
4/17/2020Receipt Date:
4/2/2020Shipment Date:
4/2/2020Shipment Date:

Not reportedEM Manifest ID:
2021Year:

PQuantity Unit:
1Waste Quantity:

0.0005Quantity Tons:

H141 - Not reportedMeth Code:

U034RCRA Code:
311 - Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:

Not reportedTSDF Telephone:

DETROIT, MI 48214TSDF City,State,Zip:

Not reportedTSDF Address 2:

LYCASTE STTSDF Address 1:

PETRO-CHEM PROCESSING GROUP OF NORTRU LLCTSDF Name:

MID980615298TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

BED ROCK INC DBA TRI STATE MOTOR TRANSIT COTransporter Name 2:

MOD095038998Transporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

CVS PHARMACY #17687 (Continued) S121474953
TC07984167.2r Page 405
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Rancho Cordova, CA 95742TSDF City,State,Zip:

Not reportedTSDF Address 2:
11855 White Rock RoadTSDF Address 1:

GEM Rancho Cordova LLCTSDF Name:

CAD980884183TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Not reportedTransporter Name 2:

Not reportedTransporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Stericycle Specialty Waste Solutions IncTransporter Name:

MNS000110924Transporter 1 EPA ID:

Not reportedContact Email:
916-351-0980Contact Telephone:

Not reportedContact:

Not reportedTelephone:

CUPERTINO, CACity,State,Zip:

Not reportedAddress 2:
19499 STEVENS CREEK BLVDAddress:

CVS (SIS)Name:

CAR000269852Generator EPA ID:
015596948FLEManifest Number:
12/14/2020Receipt Date:
11/18/2020Shipment Date:
11/18/2020Shipment Date:

Not reportedEM Manifest ID:
2021Year:

PQuantity Unit:
1Waste Quantity:

0.0005Quantity Tons:

H141 - Not reportedMeth Code:

P001RCRA Code:
311 - Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:

Not reportedTSDF Telephone:

Rancho Cordova, CA 95742TSDF City,State,Zip:

Not reportedTSDF Address 2:
11855 White Rock RoadTSDF Address 1:

GEM Rancho Cordova LLCTSDF Name:

CAD980884183TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Stericycle Specialty Waste Solutions IncTransporter Name 2:

MNS000110924Transporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Stericycle Specialty Waste Solutions IncTransporter Name:

MNS000110924Transporter 1 EPA ID:

Not reportedContact Email:
916-351-0980Contact Telephone:

Not reportedContact:

Not reportedTelephone:

CUPERTINO, CA 95014-7106City,State,Zip:

Not reportedAddress 2:
19499 STEVENS CREEK BLVDAddress:

CVS (SIS)Name:

CAR000269852Generator EPA ID:
014396573FLEManifest Number:
4/17/2020Receipt Date:

CVS PHARMACY #17687 (Continued) S121474953
TC07984167.2r Page 406
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Not reportedTelephone:

CUPERTINO, CACity,State,Zip:

Not reportedAddress 2:
19499 STEVENS CREEK BLVDAddress:

CVS (SIS)Name:

CAR000269852Generator EPA ID:
015048052FLEManifest Number:
9/30/2020Receipt Date:
9/4/2020Shipment Date:
9/4/2020Shipment Date:

Not reportedEM Manifest ID:
2020Year:

PQuantity Unit:
1Waste Quantity:

0.0005Quantity Tons:

H141 - Not reportedMeth Code:

D001,U002RCRA Code:
214 - Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:

Not reportedTSDF Telephone:

Fernley, NV 89408TSDF City,State,Zip:

Not reportedTSDF Address 2:
2095 Newlands Drive EastTSDF Address 1:
21st Century Environmental Management of Nevada, LLCTSDF Name:

NVD980895338TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Not reportedTransporter Name 2:

Not reportedTransporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Stericycle Specialty Waste Solutions IncTransporter Name:

MNS000110924Transporter 1 EPA ID:

Not reportedContact Email:
775-575-2760Contact Telephone:

Not reportedContact:

Not reportedTelephone:

CUPERTINO, CACity,State,Zip:

Not reportedAddress 2:
19499 STEVENS CREEK BLVDAddress:

CVS (SIS)Name:

CAR000269852Generator EPA ID:
015048053FLEManifest Number:
10/2/2020Receipt Date:
9/4/2020Shipment Date:
9/4/2020Shipment Date:

Not reportedEM Manifest ID:
2020Year:

Additional Information:

PQuantity Unit:
5Waste Quantity:

0.0025Quantity Tons:

H141 - Not reportedMeth Code:

D007,D010RCRA Code:
311 - Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:

Not reportedTSDF Telephone:

CVS PHARMACY #17687 (Continued) S121474953
TC07984167.2r Page 407
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
PQuantity Unit:
3Waste Quantity:

0.0015Quantity Tons:

H141 - Not reportedMeth Code:

D007,D010RCRA Code:
311 - Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:

Not reportedTSDF Telephone:

Rancho Cordova, CA 95742TSDF City,State,Zip:

Not reportedTSDF Address 2:
11855 White Rock RoadTSDF Address 1:

GEM Rancho Cordova LLCTSDF Name:

CAD980884183TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Not reportedTransporter Name 2:

Not reportedTransporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Stericycle Specialty Waste Solutions IncTransporter Name:

MNS000110924Transporter 1 EPA ID:

Not reportedContact Email:
916-351-0980Contact Telephone:

Not reportedContact:

Not reportedTelephone:

CUPERTINO, CACity,State,Zip:

Not reportedAddress 2:
19499 STEVENS CREEK BLVDAddress:

CVS (SIS)Name:

CAR000269852Generator EPA ID:
015048052FLEManifest Number:
9/30/2020Receipt Date:
9/4/2020Shipment Date:
9/4/2020Shipment Date:

Not reportedEM Manifest ID:
2020Year:

PQuantity Unit:
1Waste Quantity:

0.0005Quantity Tons:

H141 - Not reportedMeth Code:

P001RCRA Code:
311 - Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:

Not reportedTSDF Telephone:

Rancho Cordova, CA 95742TSDF City,State,Zip:

Not reportedTSDF Address 2:
11855 White Rock RoadTSDF Address 1:

GEM Rancho Cordova LLCTSDF Name:

CAD980884183TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Not reportedTransporter Name 2:

Not reportedTransporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Stericycle Specialty Waste Solutions IncTransporter Name:

MNS000110924Transporter 1 EPA ID:

Not reportedContact Email:
916-351-0980Contact Telephone:

Not reportedContact:

CVS PHARMACY #17687 (Continued) S121474953
TC07984167.2r Page 408
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
CAD980884183TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Stericycle Specialty Waste Solutions IncTransporter Name 2:

MNS000110924Transporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Stericycle Specialty Waste Solutions IncTransporter Name:

MNS000110924Transporter 1 EPA ID:

Not reportedContact Email:
916-351-0980Contact Telephone:

Not reportedContact:

Not reportedTelephone:

CUPERTINO, CA 95014-7106City,State,Zip:

Not reportedAddress 2:
19499 STEVENS CREEK BLVDAddress:

CVS (SIS)Name:

CAR000269852Generator EPA ID:
014396928FLEManifest Number:
7/2/2020Receipt Date:
6/18/2020Shipment Date:
6/18/2020Shipment Date:

Not reportedEM Manifest ID:
2020Year:

PQuantity Unit:
12Waste Quantity:

0.006Quantity Tons:

H141 - Not reportedMeth Code:

U034RCRA Code:
311 - Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:

Not reportedTSDF Telephone:

Detroit, MI 48214TSDF City,State,Zip:

Not reportedTSDF Address 2:
421 Lycaste St.TSDF Address 1:

Petro Chem Processing Group of Nortru LLCTSDF Name:

MID980615298TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Stericycle Specialty Waste Solutions IncTransporter Name 2:

MNS000110924Transporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Stericycle Specialty Waste Solutions IncTransporter Name:

MNS000110924Transporter 1 EPA ID:

Not reportedContact Email:
313-824-5840Contact Telephone:

Not reportedContact:

Not reportedTelephone:

CUPERTINO, CA 95014-7106City,State,Zip:

Not reportedAddress 2:
19499 STEVENS CREEK BLVDAddress:

CVS (SIS)Name:

CAR000269852Generator EPA ID:
014396067FLEManifest Number:
9/8/2020Receipt Date:
7/30/2020Shipment Date:
7/30/2020Shipment Date:

Not reportedEM Manifest ID:
2020Year:

CVS PHARMACY #17687 (Continued) S121474953
TC07984167.2r Page 409
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
19499 STEVENS CREEK BLVDAddress:

CVS PHARMACY #17687Name:

CAR000269852Generator EPA ID:
014396574FLEManifest Number:
5/13/2020Receipt Date:
4/2/2020Shipment Date:
4/2/2020Shipment Date:

Not reportedEM Manifest ID:
2020Year:

PQuantity Unit:
4Waste Quantity:

0.002Quantity Tons:

H141 - Not reportedMeth Code:

D007,D010RCRA Code:
311 - Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:

Not reportedTSDF Telephone:

Rancho Cordova, CA 95742TSDF City,State,Zip:

Not reportedTSDF Address 2:
11855 White Rock RoadTSDF Address 1:

GEM Rancho Cordova LLCTSDF Name:

CAD980884183TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Stericycle Specialty Waste Solutions IncTransporter Name 2:

MNS000110924Transporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Stericycle Specialty Waste Solutions IncTransporter Name:

MNS000110924Transporter 1 EPA ID:

Not reportedContact Email:
916-351-0980Contact Telephone:

Not reportedContact:

Not reportedTelephone:

CUPERTINO, CA 95014-7106City,State,Zip:

Not reportedAddress 2:
19499 STEVENS CREEK BLVDAddress:

CVS (SIS)Name:

CAR000269852Generator EPA ID:
014396928FLEManifest Number:
7/2/2020Receipt Date:
6/18/2020Shipment Date:
6/18/2020Shipment Date:

Not reportedEM Manifest ID:
2020Year:

PQuantity Unit:
1Waste Quantity:

0.0005Quantity Tons:

H141 - Not reportedMeth Code:

P001RCRA Code:
311 - Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:

Not reportedTSDF Telephone:

Rancho Cordova, CA 95742TSDF City,State,Zip:

Not reportedTSDF Address 2:
11855 White Rock RoadTSDF Address 1:

GEM Rancho Cordova LLCTSDF Name:

CVS PHARMACY #17687 (Continued) S121474953
TC07984167.2r Page 410
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
H141 - Not reportedMeth Code:

D007,D010RCRA Code:
311 - Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:

Not reportedTSDF Telephone:

Rancho Cordova, CA 95742TSDF City,State,Zip:

Not reportedTSDF Address 2:
11855 White Rock RoadTSDF Address 1:

GEM Rancho Cordova LLCTSDF Name:

CAD980884183TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Stericycle Specialty Waste Solutions IncTransporter Name 2:

MNS000110924Transporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Stericycle Specialty Waste Solutions IncTransporter Name:

MNS000110924Transporter 1 EPA ID:

Not reportedContact Email:
916-351-0980Contact Telephone:

Not reportedContact:

Not reportedTelephone:

CUPERTINO, CA 95014-7106City,State,Zip:

Not reportedAddress 2:
19499 STEVENS CREEK BLVDAddress:

CVS (SIS)Name:

CAR000269852Generator EPA ID:
014396573FLEManifest Number:
4/17/2020Receipt Date:
4/2/2020Shipment Date:
4/2/2020Shipment Date:

Not reportedEM Manifest ID:
2020Year:

PQuantity Unit:
1Waste Quantity:

0.0005Quantity Tons:

H141 - Not reportedMeth Code:

U034RCRA Code:
311 - Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:

Not reportedTSDF Telephone:

DETROIT, MI 48214TSDF City,State,Zip:

Not reportedTSDF Address 2:

LYCASTE STTSDF Address 1:

PETRO-CHEM PROCESSING GROUP OF NORTRU LLCTSDF Name:

MID980615298TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

BED ROCK INC DBA TRI STATE MOTOR TRANSIT COTransporter Name 2:

MOD095038998Transporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

STERICYCLE SPECIALTY WASTE SOLUTIONS, INC.Transporter Name:

MNS000110924Transporter 1 EPA ID:

Not reportedContact Email:
408-863-0411Contact Telephone:

Not reportedContact:

Not reportedTelephone:

CUPERTINO, CA 95014-7106City,State,Zip:

Not reportedAddress 2:

CVS PHARMACY #17687 (Continued) S121474953
TC07984167.2r Page 411
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Not reportedTransporter 1 Emergency Number:

Stericycle Specialty Waste Solutions IncTransporter Name:

MNS000110924Transporter 1 EPA ID:

Not reportedContact Email:
313-824-5840Contact Telephone:

Not reportedContact:

Not reportedTelephone:

CUPERTINO, CACity,State,Zip:

Not reportedAddress 2:
19499 STEVENS CREEK BLVDAddress:

CVS (SIS)Name:

CAR000269852Generator EPA ID:
015596949FLEManifest Number:
1/14/2021Receipt Date:
11/18/2020Shipment Date:
11/18/2020Shipment Date:

Not reportedEM Manifest ID:
2020Year:

PQuantity Unit:
1Waste Quantity:

0.0005Quantity Tons:

H141 - Not reportedMeth Code:

P001RCRA Code:
311 - Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:

Not reportedTSDF Telephone:

Rancho Cordova, CA 95742TSDF City,State,Zip:

Not reportedTSDF Address 2:
11855 White Rock RoadTSDF Address 1:

GEM Rancho Cordova LLCTSDF Name:

CAD980884183TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Stericycle Specialty Waste Solutions IncTransporter Name 2:

MNS000110924Transporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Stericycle Specialty Waste Solutions IncTransporter Name:

MNS000110924Transporter 1 EPA ID:

Not reportedContact Email:
916-351-0980Contact Telephone:

Not reportedContact:

Not reportedTelephone:

CUPERTINO, CA 95014-7106City,State,Zip:

Not reportedAddress 2:
19499 STEVENS CREEK BLVDAddress:

CVS (SIS)Name:

CAR000269852Generator EPA ID:
014396573FLEManifest Number:
4/17/2020Receipt Date:
4/2/2020Shipment Date:
4/2/2020Shipment Date:

Not reportedEM Manifest ID:
2020Year:

PQuantity Unit:
8Waste Quantity:

0.004Quantity Tons:

CVS PHARMACY #17687 (Continued) S121474953
TC07984167.2r Page 412
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
CAR000269852Generator EPA ID:
307835EM Manifest ID:
2019Year:

Federal:

Not reportedQuantity Unit:

Not reportedWaste Quantity:

Not reportedQuantity Tons:
- Not reportedMeth Code:

Not reportedRCRA Code:
- Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:

Not reportedTSDF Telephone:

Inglewood 90301TSDF City,State,Zip:

Not reportedTSDF Address 2:
425 Isis Ave.TSDF Address 1:

Rho Chem LLCTSDF Name:

CAD008364432TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Not reportedTransporter Name 2:

MNS000110924Transporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Not reportedTransporter Name:

MNS000110924Transporter 1 EPA ID:

Not reportedContact Email:
323-776-6233Contact Telephone:

Not reportedContact:
800-924-6804Telephone:

CUPERTINO 95014City,State,Zip:

Not reportedAddress 2:
19499 STEVENS CREEK BLVDAddress:

CVS (SIS)Name:

CAR000269852Generator EPA ID:
012417057FLEManifest Number:
3/19/2019Receipt Date:
3/5/2019Shipment Date:
3/5/2019Shipment Date:
307835EM Manifest ID:
2019Year:

Additional Information:

PQuantity Unit:
3Waste Quantity:

0.0015Quantity Tons:

H141 - Not reportedMeth Code:

U034RCRA Code:
311 - Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:

Not reportedTSDF Telephone:

Detroit, MI 48214TSDF City,State,Zip:

Not reportedTSDF Address 2:
421 Lycaste St.TSDF Address 1:

Petro Chem Processing Group of Nortru LLCTSDF Name:

MID980615298TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Not reportedTransporter Name 2:

Not reportedTransporter 2 EPA ID:

CVS PHARMACY #17687 (Continued) S121474953
TC07984167.2r Page 413
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
D009Federal Code:

PoundsQuantity Type:

Fiber or plastic boxes, cartons, casesType of Container:
1Number of Containers:

PQuantity Unit:

3.000000Quantity Waste:

0.00150Quantity Tons:

H141Method Code:
2Line Number:
012417057FLEManifest Number:
2019-03-05Shipment Date:

CAR000269852Generator EPA ID:
307835EM Manifest ID:
2019Year:

D007Federal Code:

PoundsQuantity Type:

Fiber or plastic boxes, cartons, casesType of Container:
1Number of Containers:

PQuantity Unit:

3.000000Quantity Waste:

0.00150Quantity Tons:

H141Method Code:
2Line Number:
012417057FLEManifest Number:
2019-03-05Shipment Date:

CAR000269852Generator EPA ID:
307835EM Manifest ID:
2019Year:

D010Federal Code:

PoundsQuantity Type:

Fiber or plastic boxes, cartons, casesType of Container:
1Number of Containers:

PQuantity Unit:

6.000000Quantity Waste:

0.00300Quantity Tons:

H141Method Code:
1Line Number:
012417057FLEManifest Number:
2019-03-05Shipment Date:

CAR000269852Generator EPA ID:
307835EM Manifest ID:
2019Year:

D007Federal Code:

PoundsQuantity Type:

Fiber or plastic boxes, cartons, casesType of Container:
1Number of Containers:

PQuantity Unit:

6.000000Quantity Waste:

0.00300Quantity Tons:

H141Method Code:
1Line Number:
012417057FLEManifest Number:
2019-03-05Shipment Date:

CVS PHARMACY #17687 (Continued) S121474953
TC07984167.2r Page 414
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
1Number of Containers:

PQuantity Unit:

6.000000Quantity Waste:

0.00300Quantity Tons:

H141Method Code:
1Line Number:
012417057FLEManifest Number:
2019-03-05Shipment Date:

CAR000269852Generator EPA ID:
307835EM Manifest ID:
2019Year:

State:

P001Federal Code:

PoundsQuantity Type:

Fiber or plastic boxes, cartons, casesType of Container:
1Number of Containers:

PQuantity Unit:

1.000000Quantity Waste:

0.00050Quantity Tons:

H141Method Code:
3Line Number:
012417057FLEManifest Number:
2019-03-05Shipment Date:

CAR000269852Generator EPA ID:
307835EM Manifest ID:
2019Year:

D024Federal Code:

PoundsQuantity Type:

Fiber or plastic boxes, cartons, casesType of Container:
1Number of Containers:

PQuantity Unit:

3.000000Quantity Waste:

0.00150Quantity Tons:

H141Method Code:
2Line Number:
012417057FLEManifest Number:
2019-03-05Shipment Date:

CAR000269852Generator EPA ID:
307835EM Manifest ID:
2019Year:

D010Federal Code:

PoundsQuantity Type:

Fiber or plastic boxes, cartons, casesType of Container:
1Number of Containers:

PQuantity Unit:

3.000000Quantity Waste:

0.00150Quantity Tons:

H141Method Code:
2Line Number:
012417057FLEManifest Number:
2019-03-05Shipment Date:

CAR000269852Generator EPA ID:
307835EM Manifest ID:
2019Year:

CVS PHARMACY #17687 (Continued) S121474953
TC07984167.2r Page 415
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
CAD008364432TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Not reportedTransporter Name 2:

MNS000110924Transporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Not reportedTransporter Name:

MNS000110924Transporter 1 EPA ID:

Not reportedContact Email:
323-776-6233Contact Telephone:

Not reportedContact:
800-924-6804Telephone:

CUPERTINO 95014City,State,Zip:

Not reportedAddress 2:
19499 STEVENS CREEK BLVDAddress:

CVS (SIS)Name:

CAR000269852Generator EPA ID:
012414600FLEManifest Number:
12/28/2018Receipt Date:
12/11/2018Shipment Date:
12/11/2018Shipment Date:
231312EM Manifest ID:
2019Year:
311State Code:

PoundsQuantity Type:

Fiber or plastic boxes, cartons, casesType of Container:
1Number of Containers:

PQuantity Unit:

1.000000Quantity Waste:

0.00050Quantity Tons:

H141Method Code:
3Line Number:
012417057FLEManifest Number:
2019-03-05Shipment Date:

CAR000269852Generator EPA ID:
307835EM Manifest ID:
2019Year:
311State Code:

PoundsQuantity Type:

Fiber or plastic boxes, cartons, casesType of Container:
1Number of Containers:

PQuantity Unit:

3.000000Quantity Waste:

0.00150Quantity Tons:

H141Method Code:
2Line Number:
012417057FLEManifest Number:
2019-03-05Shipment Date:

CAR000269852Generator EPA ID:
307835EM Manifest ID:
2019Year:
311State Code:

PoundsQuantity Type:

Fiber or plastic boxes, cartons, casesType of Container:

CVS PHARMACY #17687 (Continued) S121474953
TC07984167.2r Page 416
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
D009Federal Code:

PoundsQuantity Type:

Fiber or plastic boxes, cartons, casesType of Container:
1Number of Containers:

PQuantity Unit:

2.000000Quantity Waste:

0.00100Quantity Tons:

H141Method Code:
2Line Number:
012414600FLEManifest Number:
2018-12-11Shipment Date:

CAR000269852Generator EPA ID:
231312EM Manifest ID:
2019Year:

D007Federal Code:

PoundsQuantity Type:

Fiber or plastic boxes, cartons, casesType of Container:
1Number of Containers:

PQuantity Unit:

2.000000Quantity Waste:

0.00100Quantity Tons:

H141Method Code:
2Line Number:
012414600FLEManifest Number:
2018-12-11Shipment Date:

CAR000269852Generator EPA ID:
231312EM Manifest ID:
2019Year:

P001Federal Code:

PoundsQuantity Type:

Fiber or plastic boxes, cartons, casesType of Container:
1Number of Containers:

PQuantity Unit:

1.000000Quantity Waste:

0.00050Quantity Tons:

H141Method Code:
1Line Number:
012414600FLEManifest Number:
2018-12-11Shipment Date:

CAR000269852Generator EPA ID:
231312EM Manifest ID:
2019Year:

Federal:

Not reportedQuantity Unit:

Not reportedWaste Quantity:

Not reportedQuantity Tons:
- Not reportedMeth Code:

Not reportedRCRA Code:
- Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:

Not reportedTSDF Telephone:

Inglewood 90301TSDF City,State,Zip:

Not reportedTSDF Address 2:
425 Isis Ave.TSDF Address 1:

Rho Chem LLCTSDF Name:

CVS PHARMACY #17687 (Continued) S121474953
TC07984167.2r Page 417
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Fiber or plastic boxes, cartons, casesType of Container:
1Number of Containers:

PQuantity Unit:

3.000000Quantity Waste:

0.00150Quantity Tons:

H141Method Code:
3Line Number:
012414600FLEManifest Number:
2018-12-11Shipment Date:

CAR000269852Generator EPA ID:
231312EM Manifest ID:
2019Year:

D007Federal Code:

PoundsQuantity Type:

Fiber or plastic boxes, cartons, casesType of Container:
1Number of Containers:

PQuantity Unit:

3.000000Quantity Waste:

0.00150Quantity Tons:

H141Method Code:
3Line Number:
012414600FLEManifest Number:
2018-12-11Shipment Date:

CAR000269852Generator EPA ID:
231312EM Manifest ID:
2019Year:

D024Federal Code:

PoundsQuantity Type:

Fiber or plastic boxes, cartons, casesType of Container:
1Number of Containers:

PQuantity Unit:

2.000000Quantity Waste:

0.00100Quantity Tons:

H141Method Code:
2Line Number:
012414600FLEManifest Number:
2018-12-11Shipment Date:

CAR000269852Generator EPA ID:
231312EM Manifest ID:
2019Year:

D010Federal Code:

PoundsQuantity Type:

Fiber or plastic boxes, cartons, casesType of Container:
1Number of Containers:

PQuantity Unit:

2.000000Quantity Waste:

0.00100Quantity Tons:

H141Method Code:
2Line Number:
012414600FLEManifest Number:
2018-12-11Shipment Date:

CAR000269852Generator EPA ID:
231312EM Manifest ID:
2019Year:

CVS PHARMACY #17687 (Continued) S121474953
TC07984167.2r Page 418
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
5/9/2017Receipt Date:
5/3/2017Shipment Date:
5/3/2017Shipment Date:
009158779FLE20170503_D_1EM Manifest ID:
2018Year:

Additional Information:
311State Code:

PoundsQuantity Type:

Fiber or plastic boxes, cartons, casesType of Container:
1Number of Containers:

PQuantity Unit:

3.000000Quantity Waste:

0.00150Quantity Tons:

H141Method Code:
3Line Number:
012414600FLEManifest Number:
2018-12-11Shipment Date:

CAR000269852Generator EPA ID:
231312EM Manifest ID:
2019Year:
311State Code:

PoundsQuantity Type:

Fiber or plastic boxes, cartons, casesType of Container:
1Number of Containers:

PQuantity Unit:

2.000000Quantity Waste:

0.00100Quantity Tons:

H141Method Code:
2Line Number:
012414600FLEManifest Number:
2018-12-11Shipment Date:

CAR000269852Generator EPA ID:
231312EM Manifest ID:
2019Year:
311State Code:

PoundsQuantity Type:

Fiber or plastic boxes, cartons, casesType of Container:
1Number of Containers:

PQuantity Unit:

1.000000Quantity Waste:

0.00050Quantity Tons:

H141Method Code:
1Line Number:
012414600FLEManifest Number:
2018-12-11Shipment Date:

CAR000269852Generator EPA ID:
231312EM Manifest ID:
2019Year:

State:

D010Federal Code:

PoundsQuantity Type:

CVS PHARMACY #17687 (Continued) S121474953
TC07984167.2r Page 419
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
NULLType of Container:
1Number of Containers:

PQuantity Unit:

3.000000Quantity Waste:

0.00150Quantity Tons:

H141Method Code:
1Line Number:
009158779FLEManifest Number:
2017-05-03Shipment Date:

CAR000269852Generator EPA ID:
009158779FLE20170503_D_1EM Manifest ID:
2018Year:

D007Federal Code:

NULLQuantity Type:

NULLType of Container:
1Number of Containers:

PQuantity Unit:

3.000000Quantity Waste:

0.00150Quantity Tons:

H141Method Code:
1Line Number:
009158779FLEManifest Number:
2017-05-03Shipment Date:

CAR000269852Generator EPA ID:
009158779FLE20170503_D_1EM Manifest ID:
2018Year:

Federal:

Not reportedQuantity Unit:

Not reportedWaste Quantity:

Not reportedQuantity Tons:
- Not reportedMeth Code:

Not reportedRCRA Code:
- Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:

Not reportedTSDF Telephone:

Not reportedTSDF City,State,Zip:

Not reportedTSDF Address 2:

Not reportedTSDF Address 1:
21ST CENTURY EMN LLCTSDF Name:

NVD980895338TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Not reportedTransporter Name 2:

NED986382133Transporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Not reportedTransporter Name:

MNS000110924Transporter 1 EPA ID:

Not reportedContact Email:

Not reportedContact Telephone:

Not reportedContact:

Not reportedTelephone:

Not reportedCity,State,Zip:

Not reportedAddress 2:

Not reportedAddress:

CVS (SIS) #17687Name:

CAR000269852Generator EPA ID:
009158779FLEManifest Number:

CVS PHARMACY #17687 (Continued) S121474953
TC07984167.2r Page 420
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation

1.000000Quantity Waste:

0.00050Quantity Tons:

H141Method Code:
3Line Number:
009158779FLEManifest Number:
2017-05-03Shipment Date:

CAR000269852Generator EPA ID:
009158779FLE20170503_D_1EM Manifest ID:
2018Year:

D024Federal Code:

NULLQuantity Type:

NULLType of Container:
1Number of Containers:

PQuantity Unit:

1.000000Quantity Waste:

0.00050Quantity Tons:

H141Method Code:
3Line Number:
009158779FLEManifest Number:
2017-05-03Shipment Date:

CAR000269852Generator EPA ID:
009158779FLE20170503_D_1EM Manifest ID:
2018Year:

D009Federal Code:

NULLQuantity Type:

NULLType of Container:
1Number of Containers:

PQuantity Unit:

1.000000Quantity Waste:

0.00050Quantity Tons:

H141Method Code:
3Line Number:
009158779FLEManifest Number:
2017-05-03Shipment Date:

CAR000269852Generator EPA ID:
009158779FLE20170503_D_1EM Manifest ID:
2018Year:

P001Federal Code:

NULLQuantity Type:

NULLType of Container:
1Number of Containers:

PQuantity Unit:

1.000000Quantity Waste:

0.00050Quantity Tons:

H141Method Code:
2Line Number:
009158779FLEManifest Number:
2017-05-03Shipment Date:

CAR000269852Generator EPA ID:
009158779FLE20170503_D_1EM Manifest ID:
2018Year:

D010Federal Code:

NULLQuantity Type:

CVS PHARMACY #17687 (Continued) S121474953
TC07984167.2r Page 421
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
009158779FLEManifest Number:
2017-05-03Shipment Date:

CAR000269852Generator EPA ID:
009158779FLE20170503_D_1EM Manifest ID:
2018Year:
311State Code:

NULLQuantity Type:

NULLType of Container:
1Number of Containers:

PQuantity Unit:

1.000000Quantity Waste:

0.00050Quantity Tons:

H141Method Code:
2Line Number:
009158779FLEManifest Number:
2017-05-03Shipment Date:

CAR000269852Generator EPA ID:
009158779FLE20170503_D_1EM Manifest ID:
2018Year:
311State Code:

NULLQuantity Type:

NULLType of Container:
1Number of Containers:

PQuantity Unit:

3.000000Quantity Waste:

0.00150Quantity Tons:

H141Method Code:
1Line Number:
009158779FLEManifest Number:
2017-05-03Shipment Date:

CAR000269852Generator EPA ID:
009158779FLE20170503_D_1EM Manifest ID:
2018Year:

State:

U205Federal Code:

NULLQuantity Type:

NULLType of Container:
1Number of Containers:

PQuantity Unit:

1.000000Quantity Waste:

0.00050Quantity Tons:

H141Method Code:
3Line Number:
009158779FLEManifest Number:
2017-05-03Shipment Date:

CAR000269852Generator EPA ID:
009158779FLE20170503_D_1EM Manifest ID:
2018Year:

U129Federal Code:

NULLQuantity Type:

NULLType of Container:
1Number of Containers:

PQuantity Unit:

CVS PHARMACY #17687 (Continued) S121474953
TC07984167.2r Page 422
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
1Number of Containers:

PQuantity Unit:

2.000000Quantity Waste:

0.00100Quantity Tons:

H141Method Code:
1Line Number:
009158778FLEManifest Number:
2017-05-03Shipment Date:

CAR000269852Generator EPA ID:
009158778FLE20170503_D_1EM Manifest ID:
2018Year:

Federal:

Not reportedQuantity Unit:

Not reportedWaste Quantity:

Not reportedQuantity Tons:
- Not reportedMeth Code:

Not reportedRCRA Code:
- Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:

Not reportedTSDF Telephone:

Not reportedTSDF City,State,Zip:

Not reportedTSDF Address 2:

Not reportedTSDF Address 1:

STERICYCLE INCTSDF Name:

INR000110197TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Not reportedTransporter Name 2:

NED986382133Transporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Not reportedTransporter Name:

MNS000110924Transporter 1 EPA ID:

Not reportedContact Email:

Not reportedContact Telephone:

Not reportedContact:

Not reportedTelephone:

Not reportedCity,State,Zip:

Not reportedAddress 2:

Not reportedAddress:

CVS (SIS) #17687Name:

CAR000269852Generator EPA ID:
009158778FLEManifest Number:
5/17/2017Receipt Date:
5/3/2017Shipment Date:
5/3/2017Shipment Date:
009158778FLE20170503_D_1EM Manifest ID:
2018Year:
311State Code:

NULLQuantity Type:

NULLType of Container:
1Number of Containers:

PQuantity Unit:

1.000000Quantity Waste:

0.00050Quantity Tons:

H141Method Code:
3Line Number:

CVS PHARMACY #17687 (Continued) S121474953
TC07984167.2r Page 423
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
011296161FLEManifest Number:
4/19/2018Receipt Date:
4/2/2018Shipment Date:
4/2/2018Shipment Date:
011296161FLE20180402_D_1EM Manifest ID:
2018Year:
311State Code:

NULLQuantity Type:

NULLType of Container:
1Number of Containers:

PQuantity Unit:

2.000000Quantity Waste:

0.00100Quantity Tons:

H141Method Code:
2Line Number:
009158778FLEManifest Number:
2017-05-03Shipment Date:

CAR000269852Generator EPA ID:
009158778FLE20170503_D_1EM Manifest ID:
2018Year:
311State Code:

NULLQuantity Type:

NULLType of Container:
1Number of Containers:

PQuantity Unit:

2.000000Quantity Waste:

0.00100Quantity Tons:

H141Method Code:
1Line Number:
009158778FLEManifest Number:
2017-05-03Shipment Date:

CAR000269852Generator EPA ID:
009158778FLE20170503_D_1EM Manifest ID:
2018Year:

State:

U034Federal Code:

NULLQuantity Type:

NULLType of Container:
1Number of Containers:

PQuantity Unit:

2.000000Quantity Waste:

0.00100Quantity Tons:

H141Method Code:
2Line Number:
009158778FLEManifest Number:
2017-05-03Shipment Date:

CAR000269852Generator EPA ID:
009158778FLE20170503_D_1EM Manifest ID:
2018Year:

D001Federal Code:

NULLQuantity Type:

NULLType of Container:

CVS PHARMACY #17687 (Continued) S121474953
TC07984167.2r Page 424
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
NULLQuantity Type:

NULLType of Container:
1Number of Containers:

PQuantity Unit:

2.000000Quantity Waste:

0.00100Quantity Tons:

H141Method Code:
2Line Number:
011296161FLEManifest Number:
2018-04-02Shipment Date:

CAR000269852Generator EPA ID:
011296161FLE20180402_D_1EM Manifest ID:
2018Year:

P001Federal Code:

NULLQuantity Type:

NULLType of Container:
1Number of Containers:

PQuantity Unit:

1.000000Quantity Waste:

0.00050Quantity Tons:

H141Method Code:
1Line Number:
011296161FLEManifest Number:
2018-04-02Shipment Date:

CAR000269852Generator EPA ID:
011296161FLE20180402_D_1EM Manifest ID:
2018Year:

Federal:

Not reportedQuantity Unit:

Not reportedWaste Quantity:

Not reportedQuantity Tons:
- Not reportedMeth Code:

Not reportedRCRA Code:
- Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:

Not reportedTSDF Telephone:

Not reportedTSDF City,State,Zip:

Not reportedTSDF Address 2:

Not reportedTSDF Address 1:

RHO CHEM LLCTSDF Name:

CAD008364432TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Not reportedTransporter Name 2:

NED986382133Transporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Not reportedTransporter Name:

MNS000110924Transporter 1 EPA ID:

Not reportedContact Email:

Not reportedContact Telephone:

Not reportedContact:

Not reportedTelephone:

Not reportedCity,State,Zip:

Not reportedAddress 2:

Not reportedAddress:

CVS (SIS) #17687Name:

CAR000269852Generator EPA ID:

CVS PHARMACY #17687 (Continued) S121474953
TC07984167.2r Page 425
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
CVS (SIS) #17687Name:

CAR000269852Generator EPA ID:
011296160FLEManifest Number:
5/9/2018Receipt Date:
4/2/2018Shipment Date:
4/2/2018Shipment Date:
011296160FLE20180402_D_1EM Manifest ID:
2018Year:
311State Code:

NULLQuantity Type:

NULLType of Container:
1Number of Containers:

PQuantity Unit:

2.000000Quantity Waste:

0.00100Quantity Tons:

H141Method Code:
2Line Number:
011296161FLEManifest Number:
2018-04-02Shipment Date:

CAR000269852Generator EPA ID:
011296161FLE20180402_D_1EM Manifest ID:
2018Year:
311State Code:

NULLQuantity Type:

NULLType of Container:
1Number of Containers:

PQuantity Unit:

1.000000Quantity Waste:

0.00050Quantity Tons:

H141Method Code:
1Line Number:
011296161FLEManifest Number:
2018-04-02Shipment Date:

CAR000269852Generator EPA ID:
011296161FLE20180402_D_1EM Manifest ID:
2018Year:

State:

D010Federal Code:

NULLQuantity Type:

NULLType of Container:
1Number of Containers:

PQuantity Unit:

2.000000Quantity Waste:

0.00100Quantity Tons:

H141Method Code:
2Line Number:
011296161FLEManifest Number:
2018-04-02Shipment Date:

CAR000269852Generator EPA ID:
011296161FLE20180402_D_1EM Manifest ID:
2018Year:

D007Federal Code:

CVS PHARMACY #17687 (Continued) S121474953
TC07984167.2r Page 426
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
NULLQuantity Type:

NULLType of Container:
1Number of Containers:

PQuantity Unit:

2.000000Quantity Waste:

0.00100Quantity Tons:

H141Method Code:
1Line Number:
011296160FLEManifest Number:
2018-04-02Shipment Date:

CAR000269852Generator EPA ID:
011296160FLE20180402_D_1EM Manifest ID:
2018Year:

State:

D001Federal Code:

NULLQuantity Type:

NULLType of Container:
1Number of Containers:

PQuantity Unit:

2.000000Quantity Waste:

0.00100Quantity Tons:

H141Method Code:
1Line Number:
011296160FLEManifest Number:
2018-04-02Shipment Date:

CAR000269852Generator EPA ID:
011296160FLE20180402_D_1EM Manifest ID:
2018Year:

Federal:

Not reportedQuantity Unit:

Not reportedWaste Quantity:

Not reportedQuantity Tons:
- Not reportedMeth Code:

Not reportedRCRA Code:
- Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:

Not reportedTSDF Telephone:

Not reportedTSDF City,State,Zip:

Not reportedTSDF Address 2:

Not reportedTSDF Address 1:

STERICYCLE INCTSDF Name:

INR000110197TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Not reportedTransporter Name 2:

NED986382133Transporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Not reportedTransporter Name:

MNS000110924Transporter 1 EPA ID:

Not reportedContact Email:

Not reportedContact Telephone:

Not reportedContact:

Not reportedTelephone:

Not reportedCity,State,Zip:

Not reportedAddress 2:

Not reportedAddress:

CVS PHARMACY #17687 (Continued) S121474953
TC07984167.2r Page 427
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
2018-01-23Shipment Date:

CAR000269852Generator EPA ID:
010684413FLE20180123_D_1EM Manifest ID:
2018Year:

D007Federal Code:

NULLQuantity Type:

NULLType of Container:
1Number of Containers:

PQuantity Unit:

4.000000Quantity Waste:

0.00200Quantity Tons:

H141Method Code:
1Line Number:
010684413FLEManifest Number:
2018-01-23Shipment Date:

CAR000269852Generator EPA ID:
010684413FLE20180123_D_1EM Manifest ID:
2018Year:

Federal:

Not reportedQuantity Unit:

Not reportedWaste Quantity:

Not reportedQuantity Tons:
- Not reportedMeth Code:

Not reportedRCRA Code:
- Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:

Not reportedTSDF Telephone:

Not reportedTSDF City,State,Zip:

Not reportedTSDF Address 2:

Not reportedTSDF Address 1:

RHO CHEM LLCTSDF Name:

CAD008364432TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Not reportedTransporter Name 2:

NED986382133Transporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Not reportedTransporter Name:

MNS000110924Transporter 1 EPA ID:

Not reportedContact Email:

Not reportedContact Telephone:

Not reportedContact:

Not reportedTelephone:

Not reportedCity,State,Zip:

Not reportedAddress 2:

Not reportedAddress:

CVS (SIS) #17687Name:

CAR000269852Generator EPA ID:
010684413FLEManifest Number:
2/26/2018Receipt Date:
1/23/2018Shipment Date:
1/23/2018Shipment Date:
010684413FLE20180123_D_1EM Manifest ID:
2018Year:
311State Code:

CVS PHARMACY #17687 (Continued) S121474953
TC07984167.2r Page 428
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
2018Year:

D007Federal Code:

NULLQuantity Type:

NULLType of Container:
1Number of Containers:

PQuantity Unit:

8.000000Quantity Waste:

0.00400Quantity Tons:

H141Method Code:
2Line Number:
010684413FLEManifest Number:
2018-01-23Shipment Date:

CAR000269852Generator EPA ID:
010684413FLE20180123_D_1EM Manifest ID:
2018Year:

D024Federal Code:

NULLQuantity Type:

NULLType of Container:
1Number of Containers:

PQuantity Unit:

4.000000Quantity Waste:

0.00200Quantity Tons:

H141Method Code:
1Line Number:
010684413FLEManifest Number:
2018-01-23Shipment Date:

CAR000269852Generator EPA ID:
010684413FLE20180123_D_1EM Manifest ID:
2018Year:

D010Federal Code:

NULLQuantity Type:

NULLType of Container:
1Number of Containers:

PQuantity Unit:

4.000000Quantity Waste:

0.00200Quantity Tons:

H141Method Code:
1Line Number:
010684413FLEManifest Number:
2018-01-23Shipment Date:

CAR000269852Generator EPA ID:
010684413FLE20180123_D_1EM Manifest ID:
2018Year:

D009Federal Code:

NULLQuantity Type:

NULLType of Container:
1Number of Containers:

PQuantity Unit:

4.000000Quantity Waste:

0.00200Quantity Tons:

H141Method Code:
1Line Number:
010684413FLEManifest Number:

CVS PHARMACY #17687 (Continued) S121474953
TC07984167.2r Page 429
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
NULLType of Container:
1Number of Containers:

PQuantity Unit:

8.000000Quantity Waste:

0.00400Quantity Tons:

H141Method Code:
2Line Number:
010684413FLEManifest Number:
2018-01-23Shipment Date:

CAR000269852Generator EPA ID:
010684413FLE20180123_D_1EM Manifest ID:
2018Year:
311State Code:

NULLQuantity Type:

NULLType of Container:
1Number of Containers:

PQuantity Unit:

4.000000Quantity Waste:

0.00200Quantity Tons:

H141Method Code:
1Line Number:
010684413FLEManifest Number:
2018-01-23Shipment Date:

CAR000269852Generator EPA ID:
010684413FLE20180123_D_1EM Manifest ID:
2018Year:

State:

P001Federal Code:

NULLQuantity Type:

NULLType of Container:
1Number of Containers:

PQuantity Unit:

1.000000Quantity Waste:

0.00050Quantity Tons:

H141Method Code:
3Line Number:
010684413FLEManifest Number:
2018-01-23Shipment Date:

CAR000269852Generator EPA ID:
010684413FLE20180123_D_1EM Manifest ID:
2018Year:

D010Federal Code:

NULLQuantity Type:

NULLType of Container:
1Number of Containers:

PQuantity Unit:

8.000000Quantity Waste:

0.00400Quantity Tons:

H141Method Code:
2Line Number:
010684413FLEManifest Number:
2018-01-23Shipment Date:

CAR000269852Generator EPA ID:
010684413FLE20180123_D_1EM Manifest ID:

CVS PHARMACY #17687 (Continued) S121474953
TC07984167.2r Page 430
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
CAR000269852Generator EPA ID:
010684412FLE20180123_D_1EM Manifest ID:
2018Year:

Federal:

Not reportedQuantity Unit:

Not reportedWaste Quantity:

Not reportedQuantity Tons:
- Not reportedMeth Code:

Not reportedRCRA Code:
- Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:

Not reportedTSDF Telephone:

Not reportedTSDF City,State,Zip:

Not reportedTSDF Address 2:

Not reportedTSDF Address 1:

STERICYCLE INCTSDF Name:

INR000110197TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Not reportedTransporter Name 2:

NED986382133Transporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Not reportedTransporter Name:

MNS000110924Transporter 1 EPA ID:

Not reportedContact Email:

Not reportedContact Telephone:

Not reportedContact:

Not reportedTelephone:

Not reportedCity,State,Zip:

Not reportedAddress 2:

Not reportedAddress:

CVS (SIS) #17687Name:

CAR000269852Generator EPA ID:
010684412FLEManifest Number:
2/14/2018Receipt Date:
1/23/2018Shipment Date:
1/23/2018Shipment Date:
010684412FLE20180123_D_1EM Manifest ID:
2018Year:
311State Code:

NULLQuantity Type:

NULLType of Container:
1Number of Containers:

PQuantity Unit:

1.000000Quantity Waste:

0.00050Quantity Tons:

H141Method Code:
3Line Number:
010684413FLEManifest Number:
2018-01-23Shipment Date:

CAR000269852Generator EPA ID:
010684413FLE20180123_D_1EM Manifest ID:
2018Year:
311State Code:

NULLQuantity Type:

CVS PHARMACY #17687 (Continued) S121474953
TC07984167.2r Page 431
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Not reportedAdditional Code 4:

Not reportedAdditional Code 3:

Not reportedAdditional Code 2:

Not reportedAdditional Code 1:

PQuantity Unit:
2Waste Quantity:

0.001Quantity Tons:

Treatment/Reovery (H010-H129) Or (H131-H135)
H141 - Storage, Bulking, And/Or Transfer Off Site--NoMeth Code:

D001RCRA Code:
311 - Pharmaceutical wasteWaste Code Description:

Not reportedTSDF Alt Name:

Not reportedTSDF Alt EPA ID:

STERICYCLE INCTrans Name:

INR000110197TSDF EPA ID:

SMITH SYSTEMSTrans 2 Name:

NED986382133Trans 2 EPA ID:

STERICYCLE SPECIALTY WASTE SOLUTIONS INCTrans Name:

MNS000110924Trans EPA ID:
009158778FLEManifest ID:
20170517Receipt Date:
9/28/2018 18:30:12Creation Date:
20170503Shipment Date:

CAR000269852Gen EPA ID:
2017Year:

Additional Information:
311State Code:

NULLQuantity Type:

NULLType of Container:
1Number of Containers:

PQuantity Unit:

2.000000Quantity Waste:

0.00100Quantity Tons:

H141Method Code:
1Line Number:
010684412FLEManifest Number:
2018-01-23Shipment Date:

CAR000269852Generator EPA ID:
010684412FLE20180123_D_1EM Manifest ID:
2018Year:

State:

D001Federal Code:

NULLQuantity Type:

NULLType of Container:
1Number of Containers:

PQuantity Unit:

2.000000Quantity Waste:

0.00100Quantity Tons:

H141Method Code:
1Line Number:
010684412FLEManifest Number:
2018-01-23Shipment Date:

CVS PHARMACY #17687 (Continued) S121474953
TC07984167.2r Page 432
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
MNS000110924Trans EPA ID:
009158779FLEManifest ID:
20170509Receipt Date:
5/12/2018 18:32:34Creation Date:
20170503Shipment Date:

Not reportedAdditional Code 5:

Not reportedAdditional Code 4:

Not reportedAdditional Code 3:

Not reportedAdditional Code 2:

Not reportedAdditional Code 1:

Not reportedQuantity Unit:

Not reportedWaste Quantity:

Not reportedQuantity Tons:

Treatment/Reovery (H010-H129) Or (H131-H135)
H141 - Storage, Bulking, And/Or Transfer Off Site--NoMeth Code:

Not reportedRCRA Code:
- Not reportedWaste Code Description:

Not reportedTSDF Alt Name:

Not reportedTSDF Alt EPA ID:
21ST CENTURY EMN LLCTrans Name:

NVD980895338TSDF EPA ID:

SMITH SYSTEMSTrans 2 Name:

NED986382133Trans 2 EPA ID:

STERICYCLE SPECIALTY WASTE SOLUTIONS INCTrans Name:

MNS000110924Trans EPA ID:
009158779FLEManifest ID:
20170509Receipt Date:
5/12/2018 18:32:34Creation Date:
20170503Shipment Date:

Not reportedAdditional Code 5:

Not reportedAdditional Code 4:

Not reportedAdditional Code 3:

Not reportedAdditional Code 2:

Not reportedAdditional Code 1:

PQuantity Unit:
2Waste Quantity:

0.001Quantity Tons:

Treatment/Reovery (H010-H129) Or (H131-H135)
H141 - Storage, Bulking, And/Or Transfer Off Site--NoMeth Code:

U034RCRA Code:
311 - Pharmaceutical wasteWaste Code Description:

Not reportedTSDF Alt Name:

Not reportedTSDF Alt EPA ID:

STERICYCLE INCTrans Name:

INR000110197TSDF EPA ID:

SMITH SYSTEMSTrans 2 Name:

NED986382133Trans 2 EPA ID:

STERICYCLE SPECIALTY WASTE SOLUTIONS INCTrans Name:

MNS000110924Trans EPA ID:
009158778FLEManifest ID:
20170517Receipt Date:
9/28/2018 18:30:12Creation Date:
20170503Shipment Date:

Not reportedAdditional Code 5:

CVS PHARMACY #17687 (Continued) S121474953
TC07984167.2r Page 433
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Not reportedTSDF Alt Name:

Not reportedTSDF Alt EPA ID:
21ST CENTURY EMN LLCTrans Name:

NVD980895338TSDF EPA ID:

SMITH SYSTEMSTrans 2 Name:

NED986382133Trans 2 EPA ID:

STERICYCLE SPECIALTY WASTE SOLUTIONS INCTrans Name:

MNS000110924Trans EPA ID:
009158779FLEManifest ID:
20170509Receipt Date:
5/12/2018 18:32:34Creation Date:
20170503Shipment Date:

Not reportedAdditional Code 5:

Not reportedAdditional Code 4:

D009Additional Code 3:

D024Additional Code 2:

U129Additional Code 1:

PQuantity Unit:
1Waste Quantity:

0.0005Quantity Tons:

Treatment/Reovery (H010-H129) Or (H131-H135)
H141 - Storage, Bulking, And/Or Transfer Off Site--NoMeth Code:

U205RCRA Code:
311 - Pharmaceutical wasteWaste Code Description:

Not reportedTSDF Alt Name:

Not reportedTSDF Alt EPA ID:
21ST CENTURY EMN LLCTrans Name:

NVD980895338TSDF EPA ID:

SMITH SYSTEMSTrans 2 Name:

NED986382133Trans 2 EPA ID:

STERICYCLE SPECIALTY WASTE SOLUTIONS INCTrans Name:

MNS000110924Trans EPA ID:
009158779FLEManifest ID:
20170509Receipt Date:
5/12/2018 18:32:34Creation Date:
20170503Shipment Date:

Not reportedAdditional Code 5:

Not reportedAdditional Code 4:

Not reportedAdditional Code 3:

Not reportedAdditional Code 2:

Not reportedAdditional Code 1:

PQuantity Unit:
1Waste Quantity:

0.0005Quantity Tons:

Treatment/Reovery (H010-H129) Or (H131-H135)
H141 - Storage, Bulking, And/Or Transfer Off Site--NoMeth Code:

P001RCRA Code:
311 - Pharmaceutical wasteWaste Code Description:

Not reportedTSDF Alt Name:

Not reportedTSDF Alt EPA ID:
21ST CENTURY EMN LLCTrans Name:

NVD980895338TSDF EPA ID:

SMITH SYSTEMSTrans 2 Name:

NED986382133Trans 2 EPA ID:

STERICYCLE SPECIALTY WASTE SOLUTIONS INCTrans Name:

CVS PHARMACY #17687 (Continued) S121474953
TC07984167.2r Page 434
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Not reportedAdditional Code 5:

Not reportedAdditional Code 4:

Not reportedAdditional Code 3:

Not reportedAdditional Code 2:

D007Additional Code 1:

PQuantity Unit:
3Waste Quantity:

0.0015Quantity Tons:

Treatment/Reovery (H010-H129) Or (H131-H135)
H141 - Storage, Bulking, And/Or Transfer Off Site--NoMeth Code:

D010RCRA Code:
311 - Pharmaceutical wasteWaste Code Description:

CVS PHARMACY #17687 (Continued) S121474953
NoUniversal Waste Indicator:

NoOff-Site Waste Receipt:

NoUnderground Injection Control:

NoSmelting Melting and Refining Furnace Exemption:

NoSmall Quantity On-Site Burner Exemption:

NoRecycler Activity with Storage:

NoTransfer Facility Activity:

NoTransporter Activity:

NoMixed Waste Generator:

NoImporter Activity:

NoShort-Term Generator Activity:

PrivateOperator Type:

Target CorporationOperator Name:

PrivateOwner Type:

Main Street Cupertino Retail PropertyOwner Name:

MINNEAPOLIS, MN 55440Mailing City,State,Zip:

PO BOX 111Mailing Address:

Not reportedState District:

Not reportedState District Owner:

Not reportedActive Site Indicator:

Not reportedAccessibility:

Not reportedBiennial Report Cycle:

Not reportedNon-Notifier:

Not a generator, verifiedFederal Waste Generator Description:

PrivateLand Type:
09EPA Region:

COMPLIANCE DIRECTORContact Title:

[email protected] Email:

Not reportedContact Fax:
800-587-2228Contact Telephone:

MINNEAPOLIS, MN 55440Contact City,State,Zip:

PO BOX 111Contact Address:

CHERYL HASTYContact Name:

CAR000266254EPA ID:

CUPERTINO, CA 95014Handler City,State,Zip:

Stevens Creek BlvdHandler Address:

Target Store T3224Handler Name:
20220602Date Form Received by Agency:

RCRA Listings:
1105 ft. Site 2 of 5 in cluster N

0.209 mi. E MANIFEST
Relative:

Lower
Actual:
185 ft.

1/8-1/4 ECHOCUPERTINO, CA 95014
East FINDS19499 STEVENS CREEK BLVD CAR000266254
N98 RCRA NonGen / NLRTARGET 3224 1019899560
TC07984167.2r Page 435
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
BariumWaste Description:

D005Waste Code:

ArsenicWaste Description:

D004Waste Code:

Reactive WasteWaste Description:

D003Waste Code:

Corrosive WasteWaste Description:

D002Waste Code:

Ignitable WasteWaste Description:

D001Waste Code:

Hazardous Waste Summary:

Click Here for Biennial Reporting System Data:
2017Year:

Click Here for Biennial Reporting System Data:
2019Year:

Click Here for Biennial Reporting System Data:
2021Year:

Biennial: List of Years
NoSub-Part P Indicator:

NoManifest Broker:

NoRecycler Activity Without Storage:

NoExporter of Spent Lead Acid Batteries:

NoImporter of Spent Lead Acid Batteries:

NoRecognized Trader-Exporter:

NoRecognized Trader-Importer:
20220603Handler Date of Last Change:

Not reportedFinancial Assurance Required:

NoSignificant Non-Complier With a Compliance Schedule Universe:

NoAddressed Significant Non-Complier Universe:

NoUnaddressed Significant Non-Complier Universe:

NoSignificant Non-Complier Universe:

N/AGroundwater Controls Indicator:

N/AHuman Exposure Controls Indicator:

NoInstitutional Control Indicator:

NoEnvironmental Control Indicator:

No NCAPS rankingCorrective Action Priority Ranking:

NoNon-TSDFs Where RCRA CA has Been Imposed Universe:

NoSubject to Corrective Action Universe:

No202 GPRA Corrective Action Baseline:

Not on the Baseline2018 GPRA Renewals Baseline:

Not on the Baseline2018 GPRA Permit Baseline:

Not reportedSub-Part K Indicator:

NHazardous Secondary Material Indicator:

Not reportedFederal Facility Indicator:
---Active Site State-Reg Handler:

NoFederal Universal Waste:

NoUniversal Waste Destination Facility:

TARGET 3224 (Continued) 1019899560
TC07984167.2r Page 436
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
1,2,3-Propanetriol, Trinitrate (R) (Or) Nitroglycerine (R)Waste Description:

P081Waste Code:

Salts
Nicotine, & Salts (Or) Pyridine, 3-(1-Methyl-2-Pyrrolidinyl)-,(S)-, &Waste Description:

P075Waste Code:

Alpha-Dimethyl-
Alpha,Alpha-Dimethylphenethylamine (Or) Benzeneethanamine, Alpha,Waste Description:

P046Waste Code:

Salts, When Present At Concentrations Greater Than 0.3% When Present At Concentrations Greater Than 0.3% (Or) Warfarin, & 2h-1-Benzopyran-2-One, 4-Hydroxy-3-(3-Oxo-1-Phenylbutyl)-, & Salts,Waste Description:

P001Waste Code:

TetrachloroethyleneWaste Description:

D039Waste Code:

Methyl Ethyl KetoneWaste Description:

D035Waste Code:
1,2-DichloroethaneWaste Description:

D028Waste Code:
1,4-DichlorobenzeneWaste Description:

D027Waste Code:

CresolWaste Description:

D026Waste Code:

M-CresolWaste Description:

D024Waste Code:

BenzeneWaste Description:

D018Waste Code:
2,4-D (2,4-Dichlorophenoxyacetic Acid)Waste Description:

D016Waste Code:

SilverWaste Description:

D011Waste Code:

SeleniumWaste Description:

D010Waste Code:

MercuryWaste Description:

D009Waste Code:

LeadWaste Description:

D008Waste Code:

ChromiumWaste Description:

D007Waste Code:

CadmiumWaste Description:

D006Waste Code:

TARGET 3224 (Continued) 1019899560
TC07984167.2r Page 437
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Not reportedOwner/Operator Fax:

Not reportedOwner/Operator Telephone Ext:
800-587-2288Owner/Operator Telephone:

MINNEAPOLIS, MN 55440Owner/Operator City,State,Zip:

PO BOX 111Owner/Operator Address:

Not reportedDate Ended Current:
20161005Date Became Current:

PrivateLegal Status:

TARGET CORPORATIONOwner/Operator Name:

OwnerOwner/Operator Indicator:

Handler - Owner Operator:

U279Waste Description:

U279Waste Code:
1,3-Benzenediol (Or) ResorcinolWaste Description:

U201Waste Code:
(3beta, 16beta, 17alpha, 18beta, 20alpha)-
11,17-Dimethoxy-18-[(3,4,5-Trimethoxybenzoyl)Oxy]-, Methyl Ester, Reserpine (Or) Yohimban-16-Carboxylic Acid,Waste Description:

U200Waste Code:

PhenolWaste Description:

U188Waste Code:

Methanol (I) (Or) Methyl Alcohol (I)Waste Description:

U154Waste Code:

L-Phenylalanine, 4-[Bis(2-Chloroethyl)Amino]- (Or) MelphalanWaste Description:

U150Waste Code:

Hydrofluoric Acid (C,T) (Or) Hydrogen Fluoride (C,T)Waste Description:

U134Waste Code:
5alpha, 6beta)- (Or) Lindane
Cyclohexane, 1,2,3,4,5,6-Hexachloro-, (1alpha, 2alpha, 3beta, 4alpha,Waste Description:

U129Waste Code:

FormaldehydeWaste Description:

U122Waste Code:

Benzene, 1,4-Dichloro- (Or) P-DichlorobenzeneWaste Description:

U072Waste Code:
2-Oxide (Or) Cyclophosphamide
2h-1,3,2-Oxazaphosphorin-2-Amine, N,N-Bis(2-Chloroethyl)Tetrahydro-,Waste Description:

U058Waste Code:

Chloroform (Or) Methane, Trichloro-Waste Description:

U044Waste Code:

Benzenebutanoic Acid, 4-[Bis(2-Chloroethyl)Amino]- (Or) ChlorambucilWaste Description:

U035Waste Code:
2-Propanone (I) (Or) Acetone (I)Waste Description:

U002Waste Code:

TARGET 3224 (Continued) 1019899560
TC07984167.2r Page 438
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Not reportedOwner/Operator City,State,Zip:

Not reportedOwner/Operator Address:

Not reportedDate Ended Current:
20161009Date Became Current:

PrivateLegal Status:

TARGET CORPORATIONOwner/Operator Name:

OperatorOwner/Operator Indicator:

[email protected]/Operator Email:

Not reportedOwner/Operator Fax:

Not reportedOwner/Operator Telephone Ext:
800-587-2228Owner/Operator Telephone:

MENLO PARK, CA 94025Owner/Operator City,State,Zip:
2882 SAND HILL RD STE 241Owner/Operator Address:

Not reportedDate Ended Current:
20151116Date Became Current:

PrivateLegal Status:

MAIN STREET CUPERTINO AGGREGATOR LLCOwner/Operator Name:

OwnerOwner/Operator Indicator:

[email protected]/Operator Email:

Not reportedOwner/Operator Fax:

Not reportedOwner/Operator Telephone Ext:
800-587-2228Owner/Operator Telephone:

MINNEAPOLIS, MN 55440Owner/Operator City,State,Zip:

PO BOX 111Owner/Operator Address:

Not reportedDate Ended Current:
20161005Date Became Current:

PrivateLegal Status:

TARGET CORPORATIONOwner/Operator Name:

OperatorOwner/Operator Indicator:

[email protected]/Operator Email:

Not reportedOwner/Operator Fax:

Not reportedOwner/Operator Telephone Ext:
800-587-2228Owner/Operator Telephone:

MINNEAPOLIS, MA 55440Owner/Operator City,State,Zip:

PO BOX 2=111Owner/Operator Address:

Not reportedDate Ended Current:
20161005Date Became Current:

PrivateLegal Status:

TARGET CORPORATIONOwner/Operator Name:

OperatorOwner/Operator Indicator:

[email protected]/Operator Email:

Not reportedOwner/Operator Fax:

Not reportedOwner/Operator Telephone Ext:
800-587-2228Owner/Operator Telephone:

PALO ALTO, CA 94304Owner/Operator City,State,Zip:
965 PAGE MILL ROADOwner/Operator Address:

Not reportedDate Ended Current:
20161005Date Became Current:

PrivateLegal Status:

MAIN STREET CUPERTINO RETAIL PROPERTYOwner/Operator Name:

OwnerOwner/Operator Indicator:

[email protected]/Operator Email:

TARGET 3224 (Continued) 1019899560
TC07984167.2r Page 439
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Large Quantity GeneratorFederal Waste Generator Description:

TARGET STORE T3224Handler Name:
20180201Receive Date:

Historic Generators:

Not reportedOwner/Operator Email:

Not reportedOwner/Operator Fax:

Not reportedOwner/Operator Telephone Ext:
408-777-3080Owner/Operator Telephone:

MENLO PARK, CA 94025Owner/Operator City,State,Zip:
2882 SAND HILL RD UNIT 241Owner/Operator Address:

Not reportedDate Ended Current:
20130724Date Became Current:

PrivateLegal Status:

MAIN ST CUPERTINO AGGREGATOR LLCOwner/Operator Name:

OwnerOwner/Operator Indicator:

[email protected]/Operator Email:

Not reportedOwner/Operator Fax:

Not reportedOwner/Operator Telephone Ext:
800-587-2228Owner/Operator Telephone:

MINNEAPOLIS, MN 55440Owner/Operator City,State,Zip:

PO BOX 111Owner/Operator Address:

Not reportedDate Ended Current:
20161005Date Became Current:

PrivateLegal Status:

TARGET CORPORATIONOwner/Operator Name:

OperatorOwner/Operator Indicator:

[email protected]/Operator Email:

Not reportedOwner/Operator Fax:

Not reportedOwner/Operator Telephone Ext:
800-587-2228Owner/Operator Telephone:

MINNEAPOLIS, MN 55440Owner/Operator City,State,Zip:

PO BOX 111Owner/Operator Address:

Not reportedDate Ended Current:
20161005Date Became Current:

PrivateLegal Status:

TARGET CORPORATIONOwner/Operator Name:

OperatorOwner/Operator Indicator:

Not reportedOwner/Operator Email:

Not reportedOwner/Operator Fax:

Not reportedOwner/Operator Telephone Ext:

Not reportedOwner/Operator Telephone:

PALO ALTO, CA 94304Owner/Operator City,State,Zip:
965 PAGE MILL ROADOwner/Operator Address:

Not reportedDate Ended Current:

Not reportedDate Became Current:

PrivateLegal Status:

MAIN STREET CUPERTINO RETAIL PROPERTYOwner/Operator Name:

OwnerOwner/Operator Indicator:

Not reportedOwner/Operator Email:

Not reportedOwner/Operator Fax:

Not reportedOwner/Operator Telephone Ext:

Not reportedOwner/Operator Telephone:

TARGET 3224 (Continued) 1019899560
TC07984167.2r Page 440
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
NoSpent Lead Acid Battery Importer:

NoRecognized Trader Exporter:

NoRecognized Trader Importer:

NoLarge Quantity Handler of Universal Waste:

Not reportedState District Owner:

Small Quantity GeneratorFederal Waste Generator Description:

TARGET STORE T3224Handler Name:
20160829Receive Date:

NoElectronic Manifest Broker:

NoNon Storage Recycler Activity:

YesCurrent Record:

NoSpent Lead Acid Battery Exporter:

NoSpent Lead Acid Battery Importer:

NoRecognized Trader Exporter:

NoRecognized Trader Importer:

NoLarge Quantity Handler of Universal Waste:

Not reportedState District Owner:

Not a generator, verifiedFederal Waste Generator Description:

TARGET STORE T3224Handler Name:
20220602Receive Date:

NoElectronic Manifest Broker:

NoNon Storage Recycler Activity:

NoCurrent Record:

NoSpent Lead Acid Battery Exporter:

NoSpent Lead Acid Battery Importer:

NoRecognized Trader Exporter:

NoRecognized Trader Importer:

NoLarge Quantity Handler of Universal Waste:

Not reportedState District Owner:

Large Quantity GeneratorFederal Waste Generator Description:

TARGET STORE T3224Handler Name:
20220223Receive Date:

NoElectronic Manifest Broker:

NoNon Storage Recycler Activity:

NoCurrent Record:

NoSpent Lead Acid Battery Exporter:

NoSpent Lead Acid Battery Importer:

NoRecognized Trader Exporter:

NoRecognized Trader Importer:

NoLarge Quantity Handler of Universal Waste:

Not reportedState District Owner:

Large Quantity GeneratorFederal Waste Generator Description:

TARGET STORE T3224Handler Name:
20200220Receive Date:

NoElectronic Manifest Broker:

NoNon Storage Recycler Activity:

NoCurrent Record:

NoSpent Lead Acid Battery Exporter:

NoSpent Lead Acid Battery Importer:

NoRecognized Trader Exporter:

NoRecognized Trader Importer:

NoLarge Quantity Handler of Universal Waste:

Not reportedState District Owner:

TARGET 3224 (Continued) 1019899560
TC07984167.2r Page 441
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
20190912Last Updated Date:
013269921FLEManifest Tracking Number:

E MANIFEST:

CUPERTINO, CA 95014City,State,Zip:
19499 STEVENS CREEK BLVDAddress:

TARGET STORE T3224Name:

DFR URL:
110069706937Registry ID:
1019899560Envid:

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 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:
110069706937Registry ID:

FINDS:

No Evaluations FoundEvaluations:

Evaluation Action Summary:

No Violations FoundViolations:

Facility Has Received Notices of Violations:

Department StoresNAICS Description:
455110NAICS Code:

Department StoresNAICS Description:
452210NAICS Code:

Discount Department StoresNAICS Description:
452112NAICS Code:

List of NAICS Codes and Descriptions:

Not reportedElectronic Manifest Broker:

Not reportedNon Storage Recycler Activity:

NoCurrent Record:

NoSpent Lead Acid Battery Exporter:

TARGET 3224 (Continued) 1019899560
TC07984167.2r Page 442
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
CupertinoGenerator Mail City:

Not reportedGenerator Mail Street 2:
19499 Stevens Creek BlvdGenerator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
19499 STEVENS CREEK BLVDGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Target 3224Generator Name:

CAR000266254Generator EPA ID:

ServiceOrigin Type:

DataImage5CopySubmission Type:

CorrectedManifest Status:
20190516Received Date:
20190509Shipped Date:
20190912Last Updated Date:
013269936FLEManifest Tracking Number:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

CADesignated Facility Location State:
95133Designated Facility Location Zip:

San JoseDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:
1021 Berryessa RoadDesignated Facility Location Street 1:

Not reportedDesignated Facility Location Street Number:

CADesignated Facility Mail State:
95133Designated Facility Mail Zip:

San JoseDesignated Facility Mail City:
1021 Berryessa RoadDesignated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:

Not reportedDesignated Facility Mail Street Number:

Clean Harbors San Jose LlcDesignated Facility Name:

CAD059494310Designated Facility EPA ID:

Not reportedGenerator Contact Company Name:

CAGenerator Mail State:
95014Generator Mail Zip:

CupertinoGenerator Mail City:

Not reportedGenerator Mail Street 2:
19499 Stevens Creek BlvdGenerator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
19499 STEVENS CREEK BLVDGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Target 3224Generator Name:

CAR000266254Generator EPA ID:

ServiceOrigin Type:

DataImage5CopySubmission Type:

CorrectedManifest Status:
20190228Received Date:
20190226Shipped Date:

TARGET 3224 (Continued) 1019899560
TC07984167.2r Page 443
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
AZDesignated Facility Location State:
85007Designated Facility Location Zip:

PhoenixDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:
1340 West Lincoln StreetDesignated Facility Location Street 1:

Not reportedDesignated Facility Location Street Number:

AZDesignated Facility Mail State:
85007Designated Facility Mail Zip:

PhoenixDesignated Facility Mail City:
1340 West Lincoln StreetDesignated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:

Not reportedDesignated Facility Mail Street Number:

Clean Harbors Arizona LlcDesignated Facility Name:

AZD049318009Designated Facility EPA ID:

Target 3224Generator Contact Company Name:

CAGenerator Mail State:
95014Generator Mail Zip:

CupertinoGenerator Mail City:

Not reportedGenerator Mail Street 2:
19499 Stevens Creek BlvdGenerator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
19499 STEVENS CREEK BLVDGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Target 3224Generator Name:

CAR000266254Generator EPA ID:

ServiceOrigin Type:

DataImage5CopySubmission Type:

CorrectedManifest Status:
20190604Received Date:
20190509Shipped Date:
20210621Last Updated Date:
013269987FLEManifest Tracking Number:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

CADesignated Facility Location State:
95133Designated Facility Location Zip:

San JoseDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:
1021 Berryessa RoadDesignated Facility Location Street 1:

Not reportedDesignated Facility Location Street Number:

CADesignated Facility Mail State:
95133Designated Facility Mail Zip:

San JoseDesignated Facility Mail City:
1021 Berryessa RoadDesignated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:

Not reportedDesignated Facility Mail Street Number:

Clean Harbors San Jose LlcDesignated Facility Name:

CAD059494310Designated Facility EPA ID:

Not reportedGenerator Contact Company Name:

CAGenerator Mail State:
95014Generator Mail Zip:

TARGET 3224 (Continued) 1019899560
TC07984167.2r Page 444
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
19499 STEVENS CREEK BLVDGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Target 3224Generator Name:

CAR000266254Generator EPA ID:

ServiceOrigin Type:

DataImage5CopySubmission Type:

CorrectedManifest Status:
20200721Received Date:
20200629Shipped Date:
20210621Last Updated Date:
014544434FLEManifest Tracking Number:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

UTDesignated Facility Location State:
84029Designated Facility Location Zip:

GrantsvilleDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:
11600 North Aptus RoadDesignated Facility Location Street 1:

Not reportedDesignated Facility Location Street Number:

UTDesignated Facility Mail State:
84029Designated Facility Mail Zip:

GrantsvilleDesignated Facility Mail City:

PO Box 1339Designated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:

Not reportedDesignated Facility Mail Street Number:

Clean Harbors Aragonite LlcDesignated Facility Name:

UTD981552177Designated Facility EPA ID:

Target 3224Generator Contact Company Name:

CAGenerator Mail State:
95014Generator Mail Zip:

CupertinoGenerator Mail City:

Not reportedGenerator Mail Street 2:
19499 Stevens Creek BlvdGenerator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
19499 STEVENS CREEK BLVDGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Target 3224Generator Name:

CAR000266254Generator EPA ID:

ServiceOrigin Type:

DataImage5CopySubmission Type:

SignedManifest Status:
20200619Received Date:
20200520Shipped Date:
20200709Last Updated Date:
014550661FLEManifest Tracking Number:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

TARGET 3224 (Continued) 1019899560
TC07984167.2r Page 445
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
ARDesignated Facility Mail State:
71730Designated Facility Mail Zip:

El DoradoDesignated Facility Mail City:
309 American CircleDesignated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:

Not reportedDesignated Facility Mail Street Number:

Clean Harbors El Dorado LlcDesignated Facility Name:

ARD069748192Designated Facility EPA ID:

Target 3224Generator Contact Company Name:

CAGenerator Mail State:
95014Generator Mail Zip:

CupertinoGenerator Mail City:

Not reportedGenerator Mail Street 2:
19499 Stevens Creek BlvdGenerator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
19499 STEVENS CREEK BLVDGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Target 3224Generator Name:

CAR000266254Generator EPA ID:

ServiceOrigin Type:

DataImage5CopySubmission Type:

CorrectedManifest Status:
20200928Received Date:
20200812Shipped Date:
20210103Last Updated Date:
014225499FLEManifest Tracking Number:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

AZDesignated Facility Location State:
85007Designated Facility Location Zip:

PhoenixDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:
1340 West Lincoln StreetDesignated Facility Location Street 1:

Not reportedDesignated Facility Location Street Number:

AZDesignated Facility Mail State:
85007Designated Facility Mail Zip:

PhoenixDesignated Facility Mail City:
1340 West Lincoln StreetDesignated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:

Not reportedDesignated Facility Mail Street Number:

Clean Harbors Arizona LlcDesignated Facility Name:

AZD049318009Designated Facility EPA ID:

Target 3224Generator Contact Company Name:

CAGenerator Mail State:
95014Generator Mail Zip:

CupertinoGenerator Mail City:

Not reportedGenerator Mail Street 2:
19499 Stevens Creek BlvdGenerator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

TARGET 3224 (Continued) 1019899560
TC07984167.2r Page 446
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
ServiceOrigin Type:

DataImage5CopySubmission Type:

SignedManifest Status:
20191209Received Date:
20191202Shipped Date:
20200102Last Updated Date:
014225708FLEManifest Tracking Number:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

AZDesignated Facility Location State:
85007Designated Facility Location Zip:

PhoenixDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:
1340 West Lincoln StreetDesignated Facility Location Street 1:

Not reportedDesignated Facility Location Street Number:

AZDesignated Facility Mail State:
85007Designated Facility Mail Zip:

PhoenixDesignated Facility Mail City:
1340 West Lincoln StreetDesignated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:

Not reportedDesignated Facility Mail Street Number:

Clean Harbors Arizona LlcDesignated Facility Name:

AZD049318009Designated Facility EPA ID:

Target 3224Generator Contact Company Name:

CAGenerator Mail State:
95014Generator Mail Zip:

CupertinoGenerator Mail City:

Not reportedGenerator Mail Street 2:
19499 Stevens Creek BlvdGenerator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
19499 STEVENS CREEK BLVDGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Target 3224Generator Name:

CAR000266254Generator EPA ID:

ServiceOrigin Type:

DataImage5CopySubmission Type:

CorrectedManifest Status:
20200109Received Date:
20191202Shipped Date:
20210621Last Updated Date:
014225707FLEManifest Tracking Number:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

ARDesignated Facility Location State:
71730Designated Facility Location Zip:

El DoradoDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:
309 American CircleDesignated Facility Location Street 1:

Not reportedDesignated Facility Location Street Number:

TARGET 3224 (Continued) 1019899560
TC07984167.2r Page 447
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Clean Harbors Aragonite LlcDesignated Facility Name:

UTD981552177Designated Facility EPA ID:

Target 3224Generator Contact Company Name:

CAGenerator Mail State:
95014Generator Mail Zip:

CupertinoGenerator Mail City:

Not reportedGenerator Mail Street 2:
19499 Stevens Creek BlvdGenerator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
19499 STEVENS CREEK BLVDGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Target 3224Generator Name:

CAR000266254Generator EPA ID:

ServiceOrigin Type:

DataImage5CopySubmission Type:

SignedManifest Status:
20201123Received Date:
20201102Shipped Date:
20201214Last Updated Date:
015424463FLEManifest Tracking Number:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

CADesignated Facility Location State:
95133Designated Facility Location Zip:

San JoseDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:
1021 Berryessa RoadDesignated Facility Location Street 1:

Not reportedDesignated Facility Location Street Number:

CADesignated Facility Mail State:
95133Designated Facility Mail Zip:

San JoseDesignated Facility Mail City:
1021 Berryessa RoadDesignated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:

Not reportedDesignated Facility Mail Street Number:

Clean Harbors San Jose LlcDesignated Facility Name:

CAD059494310Designated Facility EPA ID:

Not reportedGenerator Contact Company Name:

CAGenerator Mail State:
95014Generator Mail Zip:

CupertinoGenerator Mail City:

Not reportedGenerator Mail Street 2:
19499 Stevens Creek BlvdGenerator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
19499 STEVENS CREEK BLVDGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Target 3224Generator Name:

CAR000266254Generator EPA ID:

TARGET 3224 (Continued) 1019899560
TC07984167.2r Page 448
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
011889936FLEManifest Tracking Number:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

UTDesignated Facility Location State:
84029Designated Facility Location Zip:

GrantsvilleDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:
11600 North Aptus RoadDesignated Facility Location Street 1:

Not reportedDesignated Facility Location Street Number:

UTDesignated Facility Mail State:
84029Designated Facility Mail Zip:

GrantsvilleDesignated Facility Mail City:

PO Box 1339Designated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:

Not reportedDesignated Facility Mail Street Number:

Clean Harbors Aragonite LlcDesignated Facility Name:

UTD981552177Designated Facility EPA ID:

Target 3224Generator Contact Company Name:

CAGenerator Mail State:
95014Generator Mail Zip:

CupertinoGenerator Mail City:

Not reportedGenerator Mail Street 2:
19499 Stevens Creek BlvdGenerator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
19499 STEVENS CREEK BLVDGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Target 3224Generator Name:

CAR000266254Generator EPA ID:

ServiceOrigin Type:

DataImage5CopySubmission Type:

SignedManifest Status:
20200930Received Date:
20200922Shipped Date:
20201022Last Updated Date:
015534393FLEManifest Tracking Number:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

UTDesignated Facility Location State:
84029Designated Facility Location Zip:

GrantsvilleDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:
11600 North Aptus RoadDesignated Facility Location Street 1:

Not reportedDesignated Facility Location Street Number:

UTDesignated Facility Mail State:
84029Designated Facility Mail Zip:

GrantsvilleDesignated Facility Mail City:

PO Box 1339Designated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:

Not reportedDesignated Facility Mail Street Number:

TARGET 3224 (Continued) 1019899560
TC07984167.2r Page 449
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Un1950, Waste Aerosols, Flammable, (Each Not Exceeding 1 L Capacity),U.S. DOT Description:

UN1950U.S. DOT ID Number:

YU.S. DOT Hazardous Indicator:
1Waste Line Number:
012238869FLEManifest Tracking Number:

Waste Line:

Clean Harbors Environmental Services, Inc.Transporter Name:

MAD039322250Transporter EPA ID:
2Transporter Line Number:
012238869FLEManifest Tracking Number:

Clean Harbors Environmental Services, Inc.Transporter Name:

MAD039322250Transporter EPA ID:
1Transporter Line Number:
012238869FLEManifest Tracking Number:

Transporter:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

CADesignated Facility Location State:
95133Designated Facility Location Zip:

San JoseDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:
1021 Berryessa RoadDesignated Facility Location Street 1:

Not reportedDesignated Facility Location Street Number:

CADesignated Facility Mail State:
95133Designated Facility Mail Zip:

San JoseDesignated Facility Mail City:
1021 Berryessa RoadDesignated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:

Not reportedDesignated Facility Mail Street Number:

Clean Harbors San Jose LlcDesignated Facility Name:

CAD059494310Designated Facility EPA ID:

Not reportedGenerator Contact Company Name:

CAGenerator Mail State:
95014Generator Mail Zip:

CupertinoGenerator Mail City:

Not reportedGenerator Mail Street 2:
19499 Stevens Creek BlvdGenerator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
19499 STEVENS CREEK BLVDGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Target 3224Generator Name:

CAR000266254Generator EPA ID:

ServiceOrigin Type:

DataImage5CopySubmission Type:

SignedManifest Status:
20180829Received Date:
20180815Shipped Date:
20180926Last Updated Date:

TARGET 3224 (Continued) 1019899560
TC07984167.2r Page 450
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
STORAGE, BULKING AND/OR TRANSFER OFF SITEManagement Method Description:

H141Management Method Code:

29.478476Non-Acute Waste Quantity, in Kilorgrams:
0Acute Waste Quantity, in Kilograms:

29.478476Waste Quantity, in Kilograms:

0.0325Non-Acute Waste Quantity, in Tons:
0Acute Waste Quantity, in Tons:

0.0325Waste Quantity, in Tons:

PoundsQuantity Unit of Measure Description:

PQuantity Unit of Measure Code:
65Waste Quantity:

Fiberboard or plastic drums, barrels, kegsContainer Type Description:

DFContainer Type Code:
1Number of Containers:

Not reportedNon-Hazardous Waste Description:

Un1987, Waste Alcohols, N.O.S. (Alcohol, Ethanol), 3, Pg IiU.S. DOT Description:

UN1987U.S. DOT ID Number:

YU.S. DOT Hazardous Indicator:
2Waste Line Number:
012238869FLEManifest Tracking Number:

CA-331State Waste Codes:
0Quantity Non Haz Tons:
0Quantity Non Haz Kg:

0.0025Quantity Haz Tons:

2.267575Quantity Haz Kg:

D001, D035Federal Waste Codes:

YEPA Waste Indicator:

Not reportedConsent Number:

Not reportedWaste Minimization Code Description:

Not reportedWaste Minimization Code:

Not reportedSource Code Description:

Not reportedSource Code:

Not reportedForm Code Description:

Not reportedForm Code:

Not reportedWaste Density Unit of Measure Description:

Not reportedWaste Density Unit of Measure Code:

Not reportedWaste Density:

NWaste Type Discrepancy Indicator:

NQuantity Discrepancy Indicator:

NWaste Residue Indicator:

STORAGE, BULKING AND/OR TRANSFER OFF SITEManagement Method Description:

H141Management Method Code:

2.267575Non-Acute Waste Quantity, in Kilorgrams:
0Acute Waste Quantity, in Kilograms:

2.267575Waste Quantity, in Kilograms:

0.0025Non-Acute Waste Quantity, in Tons:
0Acute Waste Quantity, in Tons:

0.0025Waste Quantity, in Tons:

PoundsQuantity Unit of Measure Description:

PQuantity Unit of Measure Code:
5Waste Quantity:

Fiberboard or plastic drums, barrels, kegsContainer Type Description:

DFContainer Type Code:
1Number of Containers:

Not reportedNon-Hazardous Waste Description:

2.1, None
TARGET 3224 (Continued) 1019899560
TC07984167.2r Page 451
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation

2.72109Quantity Haz Kg:

D002Federal Waste Codes:

YEPA Waste Indicator:

Not reportedConsent Number:

Not reportedWaste Minimization Code Description:

Not reportedWaste Minimization Code:

Not reportedSource Code Description:

Not reportedSource Code:

Not reportedForm Code Description:

Not reportedForm Code:

Not reportedWaste Density Unit of Measure Description:

Not reportedWaste Density Unit of Measure Code:

Not reportedWaste Density:

NWaste Type Discrepancy Indicator:

NQuantity Discrepancy Indicator:

NWaste Residue Indicator:

STORAGE, BULKING AND/OR TRANSFER OFF SITEManagement Method Description:

H141Management Method Code:

2.72109Non-Acute Waste Quantity, in Kilorgrams:
0Acute Waste Quantity, in Kilograms:

2.72109Waste Quantity, in Kilograms:

0.003Non-Acute Waste Quantity, in Tons:
0Acute Waste Quantity, in Tons:

0.003Waste Quantity, in Tons:

PoundsQuantity Unit of Measure Description:

PQuantity Unit of Measure Code:
6Waste Quantity:

Fiberboard or plastic drums, barrels, kegsContainer Type Description:

DFContainer Type Code:
1Number of Containers:

Not reportedNon-Hazardous Waste Description:

Un1791, Waste Hypochlorite Solutions, 8, Pg IiU.S. DOT Description:

UN1791U.S. DOT ID Number:

YU.S. DOT Hazardous Indicator:
3Waste Line Number:
012238869FLEManifest Tracking Number:

CA-331State Waste Codes:
0Quantity Non Haz Tons:
0Quantity Non Haz Kg:

0.0325Quantity Haz Tons:

29.478476Quantity Haz Kg:

D001Federal Waste Codes:

YEPA Waste Indicator:

Not reportedConsent Number:

Not reportedWaste Minimization Code Description:

Not reportedWaste Minimization Code:

Not reportedSource Code Description:

Not reportedSource Code:

Not reportedForm Code Description:

Not reportedForm Code:

Not reportedWaste Density Unit of Measure Description:

Not reportedWaste Density Unit of Measure Code:

Not reportedWaste Density:

NWaste Type Discrepancy Indicator:

NQuantity Discrepancy Indicator:

NWaste Residue Indicator:

TARGET 3224 (Continued) 1019899560
TC07984167.2r Page 452
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
27 additional US EManifest: record(s) in the EDR Site Report.

Click this hyperlink while viewing on your computer to access CA-331State Waste Codes:

0.06Quantity Non Haz Tons:

54.4218Quantity Non Haz Kg:
0Quantity Haz Tons:
0Quantity Haz Kg:

Not reportedFederal Waste Codes:

NEPA Waste Indicator:

Not reportedConsent Number:

Not reportedWaste Minimization Code Description:

Not reportedWaste Minimization Code:

Not reportedSource Code Description:

Not reportedSource Code:

Not reportedForm Code Description:

Not reportedForm Code:

Not reportedWaste Density Unit of Measure Description:

Not reportedWaste Density Unit of Measure Code:

Not reportedWaste Density:

NWaste Type Discrepancy Indicator:

NQuantity Discrepancy Indicator:

NWaste Residue Indicator:

STORAGE, BULKING AND/OR TRANSFER OFF SITEManagement Method Description:

H141Management Method Code:

54.4218Non-Acute Waste Quantity, in Kilorgrams:
0Acute Waste Quantity, in Kilograms:

54.4218Waste Quantity, in Kilograms:

0.06Non-Acute Waste Quantity, in Tons:
0Acute Waste Quantity, in Tons:

0.06Waste Quantity, in Tons:

PoundsQuantity Unit of Measure Description:

PQuantity Unit of Measure Code:
120Waste Quantity:

Fiber or plastic boxes, cartons, casesContainer Type Description:

CFContainer Type Code:
1Number of Containers:

None, Non-Rcra Hazardous Waste, Liquids (Soaps And Lotions), N/A, NoneNon-Hazardous Waste Description:

Not reportedU.S. DOT Description:

Not reportedU.S. DOT ID Number:

NU.S. DOT Hazardous Indicator:
4Waste Line Number:
012238869FLEManifest Tracking Number:

CA-122State Waste Codes:
0Quantity Non Haz Tons:
0Quantity Non Haz Kg:

0.003Quantity Haz Tons:

TARGET 3224 (Continued) 1019899560
TC07984167.2r Page 453
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Not reportedInactive Date:
2016-09-19 16:36:09.79300Issued EPA ID Date:

Not Otherwise SpecifiedNAICS Description:
99999NAICS Code:
2016-09-19 16:36:10.337Create Date:

CAR000266254EPA ID:

NAICS:
180Longitude:
-90Latitude:

STATECategory:

PERMANENTFacility Type:

ActiveFacility Status:

Not reportedContact Fax:

Not reportedContact Phone:

MINNEAPOLIS, MN 55440City,State,Zip:

Not reportedContact Address 2:

PO BOX 111Contact Address:

STEVE MUSSERContact Name:

Not reportedOwner Fax:

Not reportedOwner Phone:

MINNEAPOLIS, MN 554400111Owner City,State,Zip:

Not reportedOwner Address 2:

PO BOX 111Owner Address:

TARGET CORPORATIONOwner Name:

MINNEAPOLIS, MN 554400111Mailing City,State,Zip:

Not reportedMailing Address 2:

PO BOX 111Mailing Address:

Not reportedMailing Name:

Not reportedLast Act Date:
09/19/2016Create Date:

Not reportedInactive Date:

CAR000266254EPA ID:

CUPERTINO, CA 95014City,State,Zip:

Not reportedAddress 2:
19499 STEVENS CREEK BLVDAddress:

TARGET STORE T3224Name:

HWTS:

FA0286603Facility ID:

PR0429770Record ID:
-122.0111249Longitude:

37.3234011Latitude:

DEH PERMIT-HAZ WASTE GENERATOR PROGRAMProgram Identifier:

GENERATES < 10 GAL/YRProgram Description:
2240PE#:

[email protected] Email:
4088630411Telephone:

SANTA CLARARegion:

CUPERTINO, CA 95014City,State,Zip:
19499 STEVENS CREEK BL STE BAddress:

CVS PHARMACY #17687Name:

CUPA SANTA CLARA:
1105 ft. Site 3 of 5 in cluster N

0.209 mi.

Relative:

Lower
Actual:
185 ft.

1/8-1/4 HAZNETCUPERTINO, CA 95014
East HWTS19499 STEVENS CREEK BLVD N/A
N99 CUPA ListingsTARGET STORE T3224 S121021002
TC07984167.2r Page 454
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation

0.0915Tons:

H040 - Incineration--Thermal Destruction Other Than Use As A FuelDisposal Method:
331 - Off-specification, aged or surplus organicsCA Waste Code:

UTD981552177TSD EPA ID:

CAR000266254Gepaid:
2021Year:

0.044Tons:

Treatment/Reovery (H010-H129) Or (H131-H135)
H141 - Storage, Bulking, And/Or Transfer Off Site--NoDisposal Method:
122 - Alkaline solution without metals pH >= 12.5CA Waste Code:

CAD059494310TSD EPA ID:

CAR000266254Gepaid:
2021Year:

0.3755Tons:

Treatment/Reovery (H010-H129) Or (H131-H135)
H141 - Storage, Bulking, And/Or Transfer Off Site--NoDisposal Method:
331 - Off-specification, aged or surplus organicsCA Waste Code:

UTD981552177TSD EPA ID:

CAR000266254Gepaid:
2021Year:

0.0295Tons:

Treatment/Reovery (H010-H129) Or (H131-H135)
H141 - Storage, Bulking, And/Or Transfer Off Site--NoDisposal Method:
135 - Unspecified aqueous solutionCA Waste Code:

CAD059494310TSD EPA ID:

CAR000266254Gepaid:
2021Year:

0.0105Tons:

Treatment/Reovery (H010-H129) Or (H131-H135)
H141 - Storage, Bulking, And/Or Transfer Off Site--NoDisposal Method:
141 - Off-specification, aged or surplus inorganicsCA Waste Code:

CAD044429835TSD EPA ID:

CAR000266254Gepaid:
2021Year:

PO BOX 111Mailing Address:

Not reportedMailing Name:
8005872228Telephone:

STEVE MUSSERContact:

CUPERTINO, CA 95014City,State,Zip:

Not reportedAddress 2:
19499 STEVENS CREEK BLVDAddress:

TARGET STORE T3224Name:

HAZNET:
95014Facility Zip:

CAFacility State:

Not reportedFacility County:

CUPERTINOFacility City:

Not reportedFacility Address 2:
19499 STEVENS CREEK BLVDFacility Address:

TARGET STORE T3224Facility Name:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 455
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
669-230-8080Contact Telephone:

Reverse Logistics Team MemberContact:

Not reportedTelephone:

CUPERTINO, CA 95014City,State,Zip:

Not reportedAddress 2:
19499 STEVENS CREEK BLVDAddress:

TARGET 3224Name:

CAR000266254Generator EPA ID:
015534393FLEManifest Number:
9/30/2020Receipt Date:
9/22/2020Shipment Date:
9/22/2020Shipment Date:

Not reportedEM Manifest ID:
2021Year:

Additional Information:
24 additional CA HAZNET: record(s) in the EDR Site Report.

Click this hyperlink while viewing on your computer to access

0.2525Tons:

H040 - Incineration--Thermal Destruction Other Than Use As A FuelDisposal Method:
331 - Off-specification, aged or surplus organicsCA Waste Code:

ARD069748192TSD EPA ID:

CAR000266254Gepaid:
2020Year:

0.193Tons:

Treatment/Reovery (H010-H129) Or (H131-H135)
H141 - Storage, Bulking, And/Or Transfer Off Site--NoDisposal Method:
331 - Off-specification, aged or surplus organicsCA Waste Code:

COD991300484TSD EPA ID:

CAR000266254Gepaid:
2020Year:

0.002Tons:

Treatment/Reovery (H010-H129) Or (H131-H135)
H141 - Storage, Bulking, And/Or Transfer Off Site--NoDisposal Method:
141 - Off-specification, aged or surplus inorganicsCA Waste Code:

CAD059494310TSD EPA ID:

CAR000266254Gepaid:
2021Year:

0.003Tons:

H040 - Incineration--Thermal Destruction Other Than Use As A FuelDisposal Method:
122 - Alkaline solution without metals pH >= 12.5CA Waste Code:

UTD981552177TSD EPA ID:

CAR000266254Gepaid:
2021Year:

0.916Tons:

Treatment/Reovery (H010-H129) Or (H131-H135)
H141 - Storage, Bulking, And/Or Transfer Off Site--NoDisposal Method:
331 - Off-specification, aged or surplus organicsCA Waste Code:

CAD059494310TSD EPA ID:

CAR000266254Gepaid:
2021Year:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 456
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
2021Year:

PQuantity Unit:
6Waste Quantity:

0.003Quantity Tons:

H141 - Not reportedMeth Code:

D001,D035RCRA Code:
331 - Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:

Not reportedTSDF Telephone:

Grantsville, UT 84029TSDF City,State,Zip:

Not reportedTSDF Address 2:
11600 North Aptus RoadTSDF Address 1:

Clean Harbors Aragonite LLCTSDF Name:

UTD981552177TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Clean Harbors Environmental Services, Inc.Transporter Name 2:

MAD039322250Transporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Clean Harbors Environmental Services, Inc.Transporter Name:

MAD039322250Transporter 1 EPA ID:

[email protected] Email:
669-230-8080Contact Telephone:

Reverse Logistics Team MemberContact:

Not reportedTelephone:

CUPERTINO, CA 95014City,State,Zip:

Not reportedAddress 2:
19499 STEVENS CREEK BLVDAddress:

TARGET 3224Name:

CAR000266254Generator EPA ID:
015534393FLEManifest Number:
9/30/2020Receipt Date:
9/22/2020Shipment Date:
9/22/2020Shipment Date:

Not reportedEM Manifest ID:
2021Year:

PQuantity Unit:
216Waste Quantity:

0.108Quantity Tons:

H141 - Not reportedMeth Code:

Not reportedRCRA Code:
331 - Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:

Not reportedTSDF Telephone:

Grantsville, UT 84029TSDF City,State,Zip:

Not reportedTSDF Address 2:
11600 North Aptus RoadTSDF Address 1:

Clean Harbors Aragonite LLCTSDF Name:

UTD981552177TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Clean Harbors Environmental Services, Inc.Transporter Name 2:

MAD039322250Transporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Clean Harbors Environmental Services, Inc.Transporter Name:

MAD039322250Transporter 1 EPA ID:

[email protected] Email:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 457
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Clean Harbors Aragonite LLCTSDF Name:

UTD981552177TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Clean Harbors Environmental Services, Inc.Transporter Name 2:

MAD039322250Transporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Clean Harbors Environmental Services, Inc.Transporter Name:

MAD039322250Transporter 1 EPA ID:

[email protected] Email:
669-230-8080Contact Telephone:

Reverse Logistics Team MemberContact:

Not reportedTelephone:

CUPERTINO, CA 95014City,State,Zip:

Not reportedAddress 2:
19499 STEVENS CREEK BLVDAddress:

TARGET 3224Name:

CAR000266254Generator EPA ID:
015534393FLEManifest Number:
9/30/2020Receipt Date:
9/22/2020Shipment Date:
9/22/2020Shipment Date:

Not reportedEM Manifest ID:
2021Year:

PQuantity Unit:
24Waste Quantity:

0.012Quantity Tons:

H040 - Not reportedMeth Code:

D001,D005,D007,RCRA Code:
331 - Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:

Not reportedTSDF Telephone:

Grantsville, UT 84029TSDF City,State,Zip:

Not reportedTSDF Address 2:
11600 North Aptus RoadTSDF Address 1:

Clean Harbors Aragonite LLCTSDF Name:

UTD981552177TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Clean Harbors Environmental Services, Inc.Transporter Name 2:

MAD039322250Transporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Clean Harbors Environmental Services, Inc.Transporter Name:

MAD039322250Transporter 1 EPA ID:

[email protected] Email:
669-230-8080Contact Telephone:

Reverse Logistics Team MemberContact:

Not reportedTelephone:

CUPERTINO, CA 95014City,State,Zip:

Not reportedAddress 2:
19499 STEVENS CREEK BLVDAddress:

TARGET 3224Name:

CAR000266254Generator EPA ID:
015534393FLEManifest Number:
9/30/2020Receipt Date:
9/22/2020Shipment Date:
9/22/2020Shipment Date:

Not reportedEM Manifest ID:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 458
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Not reportedAddress 2:
19499 STEVENS CREEK BLVDAddress:

TARGET 3224Name:

CAR000266254Generator EPA ID:
014225499FLEManifest Number:
9/28/2020Receipt Date:
8/12/2020Shipment Date:
8/12/2020Shipment Date:

Not reportedEM Manifest ID:
2021Year:

PQuantity Unit:
42Waste Quantity:

0.021Quantity Tons:

H040 - Not reportedMeth Code:

D001,D035RCRA Code:
331 - Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:

Not reportedTSDF Telephone:

El Dorado, AR 71730TSDF City,State,Zip:

Not reportedTSDF Address 2:
309 American CircleTSDF Address 1:

Clean Harbors El Dorado LLCTSDF Name:

ARD069748192TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Tri State Motor TransitTransporter Name 2:

MOD095038998Transporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Clean Harbors Environmental Services, Inc.Transporter Name:

MAD039322250Transporter 1 EPA ID:

[email protected] Email:
669-230-8080Contact Telephone:

Reverse Logistics Team MemberContact:

Not reportedTelephone:

CUPERTINO, CA 95014City,State,Zip:

Not reportedAddress 2:
19499 STEVENS CREEK BLVDAddress:

TARGET 3224Name:

CAR000266254Generator EPA ID:
014225499FLEManifest Number:
9/28/2020Receipt Date:
8/12/2020Shipment Date:
8/12/2020Shipment Date:

Not reportedEM Manifest ID:
2021Year:

PQuantity Unit:
4Waste Quantity:

0.002Quantity Tons:

H040 - Not reportedMeth Code:

D002RCRA Code:
122 - Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:

Not reportedTSDF Telephone:

Grantsville, UT 84029TSDF City,State,Zip:

Not reportedTSDF Address 2:
11600 North Aptus RoadTSDF Address 1:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 459
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation

0.0215Quantity Tons:

H040 - Not reportedMeth Code:

D001,D005,D007,RCRA Code:
331 - Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:

Not reportedTSDF Telephone:

El Dorado, AR 71730TSDF City,State,Zip:

Not reportedTSDF Address 2:
309 American CircleTSDF Address 1:

Clean Harbors El Dorado LLCTSDF Name:

ARD069748192TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Tri State Motor TransitTransporter Name 2:

MOD095038998Transporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Clean Harbors Environmental Services, Inc.Transporter Name:

MAD039322250Transporter 1 EPA ID:

[email protected] Email:
669-230-8080Contact Telephone:

Reverse Logistics Team MemberContact:

Not reportedTelephone:

CUPERTINO, CA 95014City,State,Zip:

Not reportedAddress 2:
19499 STEVENS CREEK BLVDAddress:

TARGET 3224Name:

CAR000266254Generator EPA ID:
014225499FLEManifest Number:
9/28/2020Receipt Date:
8/12/2020Shipment Date:
8/12/2020Shipment Date:

Not reportedEM Manifest ID:
2021Year:

PQuantity Unit:
27Waste Quantity:

0.0135Quantity Tons:

H040 - Not reportedMeth Code:

D001RCRA Code:
331 - Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:

Not reportedTSDF Telephone:

El Dorado, AR 71730TSDF City,State,Zip:

Not reportedTSDF Address 2:
309 American CircleTSDF Address 1:

Clean Harbors El Dorado LLCTSDF Name:

ARD069748192TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Tri State Motor TransitTransporter Name 2:

MOD095038998Transporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Clean Harbors Environmental Services, Inc.Transporter Name:

MAD039322250Transporter 1 EPA ID:

[email protected] Email:
669-230-8080Contact Telephone:

Reverse Logistics Team MemberContact:

Not reportedTelephone:

CUPERTINO, CA 95014City,State,Zip:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 460
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
MAD039322250Transporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Clean Harbors Environmental Services, Inc.Transporter Name:

MAD039322250Transporter 1 EPA ID:

[email protected] Email:
669-230-8080Contact Telephone:

Reverse Logistics Team MemberContact:

Not reportedTelephone:

CUPERTINO, CA 95014City,State,Zip:

Not reportedAddress 2:
19499 STEVENS CREEK BLVDAddress:

TARGET 3224Name:

CAR000266254Generator EPA ID:
014544433FLEManifest Number:
7/9/2020Receipt Date:
6/29/2020Shipment Date:
6/29/2020Shipment Date:

Not reportedEM Manifest ID:
2021Year:

PQuantity Unit:
393Waste Quantity:

0.1965Quantity Tons:

H040 - Not reportedMeth Code:

Not reportedRCRA Code:
331 - Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:

Not reportedTSDF Telephone:

El Dorado, AR 71730TSDF City,State,Zip:

Not reportedTSDF Address 2:
309 American CircleTSDF Address 1:

Clean Harbors El Dorado LLCTSDF Name:

ARD069748192TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Tri State Motor TransitTransporter Name 2:

MOD095038998Transporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Clean Harbors Environmental Services, Inc.Transporter Name:

MAD039322250Transporter 1 EPA ID:

[email protected] Email:
669-230-8080Contact Telephone:

Reverse Logistics Team MemberContact:

Not reportedTelephone:

CUPERTINO, CA 95014City,State,Zip:

Not reportedAddress 2:
19499 STEVENS CREEK BLVDAddress:

TARGET 3224Name:

CAR000266254Generator EPA ID:
014225499FLEManifest Number:
9/28/2020Receipt Date:
8/12/2020Shipment Date:
8/12/2020Shipment Date:

Not reportedEM Manifest ID:
2021Year:

PQuantity Unit:
43Waste Quantity:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 461
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
9/30/2020Receipt Date:
9/22/2020Shipment Date:
9/22/2020Shipment Date:

Not reportedEM Manifest ID:
2020Year:

Additional Information:

PQuantity Unit:
3Waste Quantity:

0.0015Quantity Tons:

H141 - Not reportedMeth Code:

Not reportedRCRA Code:
141 - Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:

Not reportedTSDF Telephone:

Phoenix, AZ 85007TSDF City,State,Zip:

Not reportedTSDF Address 2:
1340 West Lincoln StreetTSDF Address 1:

Clean Harbors Arizona LLCTSDF Name:

AZD049318009TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Clean Harbors Environmental Services, Inc.Transporter Name 2:

MAD039322250Transporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Clean Harbors Environmental Services, Inc.Transporter Name:

MAD039322250Transporter 1 EPA ID:

[email protected] Email:
669-230-8080Contact Telephone:

Reverse Logistics Team MemberContact:

Not reportedTelephone:

CUPERTINO, CA 95014City,State,Zip:

Not reportedAddress 2:
19499 STEVENS CREEK BLVDAddress:

TARGET 3224Name:

CAR000266254Generator EPA ID:
014544434FLEManifest Number:
7/21/2020Receipt Date:
6/29/2020Shipment Date:
6/29/2020Shipment Date:

Not reportedEM Manifest ID:
2021Year:

PQuantity Unit:
9Waste Quantity:

0.0045Quantity Tons:

H040 - Not reportedMeth Code:

D001,D005,D007,RCRA Code:
331 - Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:

Not reportedTSDF Telephone:

Grantsville, UT 84029TSDF City,State,Zip:

Not reportedTSDF Address 2:
11600 North Aptus RoadTSDF Address 1:

Clean Harbors Aragonite LLCTSDF Name:

UTD981552177TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Clean Harbors Environmental Services, Inc.Transporter Name 2:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 462
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Not reportedTSDF Telephone:

Grantsville, UT 84029TSDF City,State,Zip:

Not reportedTSDF Address 2:
11600 North Aptus RoadTSDF Address 1:

Clean Harbors Aragonite LLCTSDF Name:

UTD981552177TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Clean Harbors Environmental Services, Inc.Transporter Name 2:

MAD039322250Transporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Clean Harbors Environmental Services, Inc.Transporter Name:

MAD039322250Transporter 1 EPA ID:

[email protected] Email:
669-230-8080Contact Telephone:

Reverse Logistics Team MemberContact:

Not reportedTelephone:

CUPERTINO, CA 95014City,State,Zip:

Not reportedAddress 2:
19499 STEVENS CREEK BLVDAddress:

TARGET 3224Name:

CAR000266254Generator EPA ID:
015534393FLEManifest Number:
9/30/2020Receipt Date:
9/22/2020Shipment Date:
9/22/2020Shipment Date:

Not reportedEM Manifest ID:
2020Year:

PQuantity Unit:
4Waste Quantity:

0.002Quantity Tons:

H040 - Not reportedMeth Code:

D002RCRA Code:
122 - Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:

Not reportedTSDF Telephone:

Grantsville, UT 84029TSDF City,State,Zip:

Not reportedTSDF Address 2:
11600 North Aptus RoadTSDF Address 1:

Clean Harbors Aragonite LLCTSDF Name:

UTD981552177TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Clean Harbors Environmental Services, Inc.Transporter Name 2:

MAD039322250Transporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Clean Harbors Environmental Services, Inc.Transporter Name:

MAD039322250Transporter 1 EPA ID:

[email protected] Email:
669-230-8080Contact Telephone:

Reverse Logistics Team MemberContact:

Not reportedTelephone:

CUPERTINO, CA 95014City,State,Zip:

Not reportedAddress 2:
19499 STEVENS CREEK BLVDAddress:

TARGET 3224Name:

CAR000266254Generator EPA ID:
015534393FLEManifest Number:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 463
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
669-230-8080Contact Telephone:

Reverse Logistics Team MemberContact:

Not reportedTelephone:

CUPERTINO, CA 95014City,State,Zip:

Not reportedAddress 2:
19499 STEVENS CREEK BLVDAddress:

TARGET 3224Name:

CAR000266254Generator EPA ID:
015534393FLEManifest Number:
9/30/2020Receipt Date:
9/22/2020Shipment Date:
9/22/2020Shipment Date:

Not reportedEM Manifest ID:
2020Year:

PQuantity Unit:
6Waste Quantity:

0.003Quantity Tons:

H141 - Not reportedMeth Code:

D001,D035RCRA Code:
331 - Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:

Not reportedTSDF Telephone:

Grantsville, UT 84029TSDF City,State,Zip:

Not reportedTSDF Address 2:
11600 North Aptus RoadTSDF Address 1:

Clean Harbors Aragonite LLCTSDF Name:

UTD981552177TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Clean Harbors Environmental Services, Inc.Transporter Name 2:

MAD039322250Transporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Clean Harbors Environmental Services, Inc.Transporter Name:

MAD039322250Transporter 1 EPA ID:

[email protected] Email:
669-230-8080Contact Telephone:

Reverse Logistics Team MemberContact:

Not reportedTelephone:

CUPERTINO, CA 95014City,State,Zip:

Not reportedAddress 2:
19499 STEVENS CREEK BLVDAddress:

TARGET 3224Name:

CAR000266254Generator EPA ID:
015534393FLEManifest Number:
9/30/2020Receipt Date:
9/22/2020Shipment Date:
9/22/2020Shipment Date:

Not reportedEM Manifest ID:
2020Year:

PQuantity Unit:
24Waste Quantity:

0.012Quantity Tons:

H040 - Not reportedMeth Code:

D001,D005,D007,RCRA Code:
331 - Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 464
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
2020Year:

PQuantity Unit:
393Waste Quantity:

0.1965Quantity Tons:

H040 - Not reportedMeth Code:

Not reportedRCRA Code:
331 - Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:

Not reportedTSDF Telephone:

El Dorado, AR 71730TSDF City,State,Zip:

Not reportedTSDF Address 2:
309 American CircleTSDF Address 1:

Clean Harbors El Dorado LLCTSDF Name:

ARD069748192TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Tri State Motor TransitTransporter Name 2:

MOD095038998Transporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Clean Harbors Environmental Services, Inc.Transporter Name:

MAD039322250Transporter 1 EPA ID:

[email protected] Email:
669-230-8080Contact Telephone:

Reverse Logistics Team MemberContact:

Not reportedTelephone:

CUPERTINO, CA 95014City,State,Zip:

Not reportedAddress 2:
19499 STEVENS CREEK BLVDAddress:

TARGET 3224Name:

CAR000266254Generator EPA ID:
014225499FLEManifest Number:
9/28/2020Receipt Date:
8/12/2020Shipment Date:
8/12/2020Shipment Date:

Not reportedEM Manifest ID:
2020Year:

PQuantity Unit:
216Waste Quantity:

0.108Quantity Tons:

H141 - Not reportedMeth Code:

Not reportedRCRA Code:
331 - Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:

Not reportedTSDF Telephone:

Grantsville, UT 84029TSDF City,State,Zip:

Not reportedTSDF Address 2:
11600 North Aptus RoadTSDF Address 1:

Clean Harbors Aragonite LLCTSDF Name:

UTD981552177TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Clean Harbors Environmental Services, Inc.Transporter Name 2:

MAD039322250Transporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Clean Harbors Environmental Services, Inc.Transporter Name:

MAD039322250Transporter 1 EPA ID:

[email protected] Email:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 465
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Clean Harbors El Dorado LLCTSDF Name:

ARD069748192TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Tri State Motor TransitTransporter Name 2:

MOD095038998Transporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Clean Harbors Environmental Services, Inc.Transporter Name:

MAD039322250Transporter 1 EPA ID:

[email protected] Email:
669-230-8080Contact Telephone:

Reverse Logistics Team MemberContact:

Not reportedTelephone:

CUPERTINO, CA 95014City,State,Zip:

Not reportedAddress 2:
19499 STEVENS CREEK BLVDAddress:

TARGET 3224Name:

CAR000266254Generator EPA ID:
014225499FLEManifest Number:
9/28/2020Receipt Date:
8/12/2020Shipment Date:
8/12/2020Shipment Date:

Not reportedEM Manifest ID:
2020Year:

PQuantity Unit:
43Waste Quantity:

0.0215Quantity Tons:

H040 - Not reportedMeth Code:

D001,D005,D007,RCRA Code:
331 - Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:

Not reportedTSDF Telephone:

El Dorado, AR 71730TSDF City,State,Zip:

Not reportedTSDF Address 2:
309 American CircleTSDF Address 1:

Clean Harbors El Dorado LLCTSDF Name:

ARD069748192TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Tri State Motor TransitTransporter Name 2:

MOD095038998Transporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Clean Harbors Environmental Services, Inc.Transporter Name:

MAD039322250Transporter 1 EPA ID:

[email protected] Email:
669-230-8080Contact Telephone:

Reverse Logistics Team MemberContact:

Not reportedTelephone:

CUPERTINO, CA 95014City,State,Zip:

Not reportedAddress 2:
19499 STEVENS CREEK BLVDAddress:

TARGET 3224Name:

CAR000266254Generator EPA ID:
014225499FLEManifest Number:
9/28/2020Receipt Date:
8/12/2020Shipment Date:
8/12/2020Shipment Date:

Not reportedEM Manifest ID:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 466
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Not reportedAddress 2:
19499 STEVENS CREEK BLVDAddress:

TARGET 3224Name:

CAR000266254Generator EPA ID:
014544433FLEManifest Number:
7/9/2020Receipt Date:
6/29/2020Shipment Date:
6/29/2020Shipment Date:

Not reportedEM Manifest ID:
2020Year:

PQuantity Unit:
27Waste Quantity:

0.0135Quantity Tons:

H040 - Not reportedMeth Code:

D001RCRA Code:
331 - Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:

Not reportedTSDF Telephone:

El Dorado, AR 71730TSDF City,State,Zip:

Not reportedTSDF Address 2:
309 American CircleTSDF Address 1:

Clean Harbors El Dorado LLCTSDF Name:

ARD069748192TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Tri State Motor TransitTransporter Name 2:

MOD095038998Transporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Clean Harbors Environmental Services, Inc.Transporter Name:

MAD039322250Transporter 1 EPA ID:

[email protected] Email:
669-230-8080Contact Telephone:

Reverse Logistics Team MemberContact:

Not reportedTelephone:

CUPERTINO, CA 95014City,State,Zip:

Not reportedAddress 2:
19499 STEVENS CREEK BLVDAddress:

TARGET 3224Name:

CAR000266254Generator EPA ID:
014225499FLEManifest Number:
9/28/2020Receipt Date:
8/12/2020Shipment Date:
8/12/2020Shipment Date:

Not reportedEM Manifest ID:
2020Year:

PQuantity Unit:
42Waste Quantity:

0.021Quantity Tons:

H040 - Not reportedMeth Code:

D001,D035RCRA Code:
331 - Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:

Not reportedTSDF Telephone:

El Dorado, AR 71730TSDF City,State,Zip:

Not reportedTSDF Address 2:
309 American CircleTSDF Address 1:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 467
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation

0.0015Quantity Tons:

H141 - Not reportedMeth Code:

Not reportedRCRA Code:
141 - Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:

Not reportedTSDF Telephone:

Phoenix, AZ 85007TSDF City,State,Zip:

Not reportedTSDF Address 2:
1340 West Lincoln StreetTSDF Address 1:

Clean Harbors Arizona LLCTSDF Name:

AZD049318009TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Clean Harbors Environmental Services, Inc.Transporter Name 2:

MAD039322250Transporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Clean Harbors Environmental Services, Inc.Transporter Name:

MAD039322250Transporter 1 EPA ID:

[email protected] Email:
669-230-8080Contact Telephone:

Reverse Logistics Team MemberContact:

Not reportedTelephone:

CUPERTINO, CA 95014City,State,Zip:

Not reportedAddress 2:
19499 STEVENS CREEK BLVDAddress:

TARGET 3224Name:

CAR000266254Generator EPA ID:
014544434FLEManifest Number:
7/21/2020Receipt Date:
6/29/2020Shipment Date:
6/29/2020Shipment Date:

Not reportedEM Manifest ID:
2020Year:

PQuantity Unit:
30Waste Quantity:

0.015Quantity Tons:

H141 - Not reportedMeth Code:

D001,D035RCRA Code:
331 - Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:

Not reportedTSDF Telephone:

Grantsville, UT 84029TSDF City,State,Zip:

Not reportedTSDF Address 2:
11600 North Aptus RoadTSDF Address 1:

Clean Harbors Aragonite LLCTSDF Name:

UTD981552177TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Clean Harbors Environmental Services, Inc.Transporter Name 2:

MAD039322250Transporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Clean Harbors Environmental Services, Inc.Transporter Name:

MAD039322250Transporter 1 EPA ID:

[email protected] Email:
669-230-8080Contact Telephone:

Reverse Logistics Team MemberContact:

Not reportedTelephone:

CUPERTINO, CA 95014City,State,Zip:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 468
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
642916EM Manifest ID:
2019Year:

D001Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

7.000000Quantity Waste:

0.00350Quantity Tons:

H141Method Code:
1Line Number:
013900965FLEManifest Number:
2019-09-10Shipment Date:

CAR000266254Generator EPA ID:
642916EM Manifest ID:
2019Year:

Federal:

Not reportedQuantity Unit:

Not reportedWaste Quantity:

Not reportedQuantity Tons:
- Not reportedMeth Code:

Not reportedRCRA Code:
- Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:
800-483-3718TSDF Telephone:

San Jose 95133TSDF City,State,Zip:

Not reportedTSDF Address 2:
1021 Berryessa RoadTSDF Address 1:

Clean Harbors San Jose LLCTSDF Name:

CAD059494310TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Not reportedTransporter Name 2:

MAD039322250Transporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Not reportedTransporter Name:

MAD039322250Transporter 1 EPA ID:

Not reportedContact Email:
669-230-8080Contact Telephone:

Reverse Logistics Team MemberContact:
800-483-3718Telephone:

CUPERTINO 95014City,State,Zip:

Not reportedAddress 2:
19499 STEVENS CREEK BLVDAddress:

TARGET 3224Name:

CAR000266254Generator EPA ID:
013900965FLEManifest Number:
9/16/2019Receipt Date:
9/10/2019Shipment Date:
9/10/2019Shipment Date:
642916EM Manifest ID:
2019Year:

Additional Information:

PQuantity Unit:
3Waste Quantity:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 469
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
D001Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

5.000000Quantity Waste:

0.00250Quantity Tons:

H141Method Code:
4Line Number:
013900965FLEManifest Number:
2019-09-10Shipment Date:

CAR000266254Generator EPA ID:
642916EM Manifest ID:
2019Year:

D001Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

21.000000Quantity Waste:

0.01050Quantity Tons:

H141Method Code:
3Line Number:
013900965FLEManifest Number:
2019-09-10Shipment Date:

CAR000266254Generator EPA ID:
642916EM Manifest ID:
2019Year:

D001Federal Code:

PoundsQuantity Type:

Metal drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

1.000000Quantity Waste:

0.00050Quantity Tons:

H141Method Code:
2Line Number:
013900965FLEManifest Number:
2019-09-10Shipment Date:

CAR000266254Generator EPA ID:
642916EM Manifest ID:
2019Year:

D035Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

7.000000Quantity Waste:

0.00350Quantity Tons:

H141Method Code:
1Line Number:
013900965FLEManifest Number:
2019-09-10Shipment Date:

CAR000266254Generator EPA ID:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 470
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

5.000000Quantity Waste:

0.00250Quantity Tons:

H141Method Code:
4Line Number:
013900965FLEManifest Number:
2019-09-10Shipment Date:

CAR000266254Generator EPA ID:
642916EM Manifest ID:
2019Year:

D011Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

5.000000Quantity Waste:

0.00250Quantity Tons:

H141Method Code:
4Line Number:
013900965FLEManifest Number:
2019-09-10Shipment Date:

CAR000266254Generator EPA ID:
642916EM Manifest ID:
2019Year:

D007Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

5.000000Quantity Waste:

0.00250Quantity Tons:

H141Method Code:
4Line Number:
013900965FLEManifest Number:
2019-09-10Shipment Date:

CAR000266254Generator EPA ID:
642916EM Manifest ID:
2019Year:

D005Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

5.000000Quantity Waste:

0.00250Quantity Tons:

H141Method Code:
4Line Number:
013900965FLEManifest Number:
2019-09-10Shipment Date:

CAR000266254Generator EPA ID:
642916EM Manifest ID:
2019Year:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 471
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation

1.000000Quantity Waste:

0.00050Quantity Tons:

H141Method Code:
5Line Number:
013900965FLEManifest Number:
2019-09-10Shipment Date:

CAR000266254Generator EPA ID:
642916EM Manifest ID:
2019Year:

U154Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

5.000000Quantity Waste:

0.00250Quantity Tons:

H141Method Code:
4Line Number:
013900965FLEManifest Number:
2019-09-10Shipment Date:

CAR000266254Generator EPA ID:
642916EM Manifest ID:
2019Year:

U002Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

5.000000Quantity Waste:

0.00250Quantity Tons:

H141Method Code:
4Line Number:
013900965FLEManifest Number:
2019-09-10Shipment Date:

CAR000266254Generator EPA ID:
642916EM Manifest ID:
2019Year:

D035Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

5.000000Quantity Waste:

0.00250Quantity Tons:

H141Method Code:
4Line Number:
013900965FLEManifest Number:
2019-09-10Shipment Date:

CAR000266254Generator EPA ID:
642916EM Manifest ID:
2019Year:

D018Federal Code:

PoundsQuantity Type:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 472
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
013900965FLEManifest Number:
2019-09-10Shipment Date:

CAR000266254Generator EPA ID:
642916EM Manifest ID:
2019Year:
331State Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

21.000000Quantity Waste:

0.01050Quantity Tons:

H141Method Code:
3Line Number:
013900965FLEManifest Number:
2019-09-10Shipment Date:

CAR000266254Generator EPA ID:
642916EM Manifest ID:
2019Year:
331State Code:

PoundsQuantity Type:

Metal drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

1.000000Quantity Waste:

0.00050Quantity Tons:

H141Method Code:
2Line Number:
013900965FLEManifest Number:
2019-09-10Shipment Date:

CAR000266254Generator EPA ID:
642916EM Manifest ID:
2019Year:
331State Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

7.000000Quantity Waste:

0.00350Quantity Tons:

H141Method Code:
1Line Number:
013900965FLEManifest Number:
2019-09-10Shipment Date:

CAR000266254Generator EPA ID:
642916EM Manifest ID:
2019Year:

State:

P075Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 473
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
MAD039322250Transporter 1 EPA ID:

Not reportedContact Email:
669-230-8080Contact Telephone:

Reverse Logistics Team MemberContact:
800-483-3718Telephone:

CUPERTINO 95014City,State,Zip:

Not reportedAddress 2:
19499 STEVENS CREEK BLVDAddress:

TARGET 3224Name:

CAR000266254Generator EPA ID:
013235896FLEManifest Number:
8/8/2019Receipt Date:
8/1/2019Shipment Date:
8/1/2019Shipment Date:
554788EM Manifest ID:
2019Year:
331State Code:

PoundsQuantity Type:

Fiber or plastic boxes, cartons, casesType of Container:
2Number of Containers:

PQuantity Unit:
254.000000Quantity Waste:

0.12700Quantity Tons:

H141Method Code:
6Line Number:
013900965FLEManifest Number:
2019-09-10Shipment Date:

CAR000266254Generator EPA ID:
642916EM Manifest ID:
2019Year:
331State Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

1.000000Quantity Waste:

0.00050Quantity Tons:

H141Method Code:
5Line Number:
013900965FLEManifest Number:
2019-09-10Shipment Date:

CAR000266254Generator EPA ID:
642916EM Manifest ID:
2019Year:
331State Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

5.000000Quantity Waste:

0.00250Quantity Tons:

H141Method Code:
4Line Number:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 474
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation

0.00150Quantity Tons:

H141Method Code:
2Line Number:
013235896FLEManifest Number:
2019-08-01Shipment Date:

CAR000266254Generator EPA ID:
554788EM Manifest ID:
2019Year:

D035Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

3.000000Quantity Waste:

0.00150Quantity Tons:

H141Method Code:
1Line Number:
013235896FLEManifest Number:
2019-08-01Shipment Date:

CAR000266254Generator EPA ID:
554788EM Manifest ID:
2019Year:

D001Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

3.000000Quantity Waste:

0.00150Quantity Tons:

H141Method Code:
1Line Number:
013235896FLEManifest Number:
2019-08-01Shipment Date:

CAR000266254Generator EPA ID:
554788EM Manifest ID:
2019Year:

Federal:

Not reportedQuantity Unit:

Not reportedWaste Quantity:

Not reportedQuantity Tons:
- Not reportedMeth Code:

Not reportedRCRA Code:
- Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:
800-483-3718TSDF Telephone:

San Jose 95133TSDF City,State,Zip:

Not reportedTSDF Address 2:
1021 Berryessa RoadTSDF Address 1:

Clean Harbors San Jose LLCTSDF Name:

CAD059494310TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Not reportedTransporter Name 2:

MAD039322250Transporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Not reportedTransporter Name:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 475
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
2019-08-01Shipment Date:

CAR000266254Generator EPA ID:
554788EM Manifest ID:
2019Year:
331State Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

3.000000Quantity Waste:

0.00150Quantity Tons:

H141Method Code:
1Line Number:
013235896FLEManifest Number:
2019-08-01Shipment Date:

CAR000266254Generator EPA ID:
554788EM Manifest ID:
2019Year:

State:

P075Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

1.000000Quantity Waste:

0.00050Quantity Tons:

H141Method Code:
4Line Number:
013235896FLEManifest Number:
2019-08-01Shipment Date:

CAR000266254Generator EPA ID:
554788EM Manifest ID:
2019Year:

D001Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

15.000000Quantity Waste:

0.00750Quantity Tons:

H141Method Code:
3Line Number:
013235896FLEManifest Number:
2019-08-01Shipment Date:

CAR000266254Generator EPA ID:
554788EM Manifest ID:
2019Year:

D001Federal Code:

PoundsQuantity Type:

Metal drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

3.000000Quantity Waste:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 476
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
331State Code:

PoundsQuantity Type:

Fiber or plastic boxes, cartons, casesType of Container:
3Number of Containers:

PQuantity Unit:
261.000000Quantity Waste:

0.13050Quantity Tons:

H141Method Code:
5Line Number:
013235896FLEManifest Number:
2019-08-01Shipment Date:

CAR000266254Generator EPA ID:
554788EM Manifest ID:
2019Year:
331State Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

1.000000Quantity Waste:

0.00050Quantity Tons:

H141Method Code:
4Line Number:
013235896FLEManifest Number:
2019-08-01Shipment Date:

CAR000266254Generator EPA ID:
554788EM Manifest ID:
2019Year:
331State Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

15.000000Quantity Waste:

0.00750Quantity Tons:

H141Method Code:
3Line Number:
013235896FLEManifest Number:
2019-08-01Shipment Date:

CAR000266254Generator EPA ID:
554788EM Manifest ID:
2019Year:
331State Code:

PoundsQuantity Type:

Metal drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

3.000000Quantity Waste:

0.00150Quantity Tons:

H141Method Code:
2Line Number:
013235896FLEManifest Number:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 477
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
H141Method Code:
1Line Number:
013211995FLEManifest Number:
2019-06-20Shipment Date:

CAR000266254Generator EPA ID:
554430EM Manifest ID:
2019Year:

D001Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

2.000000Quantity Waste:

0.00100Quantity Tons:

H141Method Code:
1Line Number:
013211995FLEManifest Number:
2019-06-20Shipment Date:

CAR000266254Generator EPA ID:
554430EM Manifest ID:
2019Year:

Federal:

Not reportedQuantity Unit:

Not reportedWaste Quantity:

Not reportedQuantity Tons:
- Not reportedMeth Code:

Not reportedRCRA Code:
- Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:
800-483-3718TSDF Telephone:

San Jose 95133TSDF City,State,Zip:

Not reportedTSDF Address 2:
1021 Berryessa RoadTSDF Address 1:

Clean Harbors San Jose LLCTSDF Name:

CAD059494310TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Not reportedTransporter Name 2:

MAD039322250Transporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Not reportedTransporter Name:

MAD039322250Transporter 1 EPA ID:

Not reportedContact Email:
669-230-8080Contact Telephone:

Reverse Logistics Team MemberContact:
800-483-3718Telephone:

CUPERTINO 95014City,State,Zip:

Not reportedAddress 2:
19499 STEVENS CREEK BLVDAddress:

TARGET 3224Name:

CAR000266254Generator EPA ID:
013211995FLEManifest Number:
6/27/2019Receipt Date:
6/20/2019Shipment Date:
6/20/2019Shipment Date:
554430EM Manifest ID:
2019Year:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 478
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
2019-06-20Shipment Date:

CAR000266254Generator EPA ID:
554430EM Manifest ID:
2019Year:

D005Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

2.000000Quantity Waste:

0.00100Quantity Tons:

H141Method Code:
3Line Number:
013211995FLEManifest Number:
2019-06-20Shipment Date:

CAR000266254Generator EPA ID:
554430EM Manifest ID:
2019Year:

D001Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

2.000000Quantity Waste:

0.00100Quantity Tons:

H141Method Code:
3Line Number:
013211995FLEManifest Number:
2019-06-20Shipment Date:

CAR000266254Generator EPA ID:
554430EM Manifest ID:
2019Year:

D001Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

4.000000Quantity Waste:

0.00200Quantity Tons:

H141Method Code:
2Line Number:
013211995FLEManifest Number:
2019-06-20Shipment Date:

CAR000266254Generator EPA ID:
554430EM Manifest ID:
2019Year:

D035Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

2.000000Quantity Waste:

0.00100Quantity Tons:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 479
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
2019Year:

D035Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

2.000000Quantity Waste:

0.00100Quantity Tons:

H141Method Code:
3Line Number:
013211995FLEManifest Number:
2019-06-20Shipment Date:

CAR000266254Generator EPA ID:
554430EM Manifest ID:
2019Year:

D018Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

2.000000Quantity Waste:

0.00100Quantity Tons:

H141Method Code:
3Line Number:
013211995FLEManifest Number:
2019-06-20Shipment Date:

CAR000266254Generator EPA ID:
554430EM Manifest ID:
2019Year:

D011Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

2.000000Quantity Waste:

0.00100Quantity Tons:

H141Method Code:
3Line Number:
013211995FLEManifest Number:
2019-06-20Shipment Date:

CAR000266254Generator EPA ID:
554430EM Manifest ID:
2019Year:

D007Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

2.000000Quantity Waste:

0.00100Quantity Tons:

H141Method Code:
3Line Number:
013211995FLEManifest Number:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 480
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

3.000000Quantity Waste:

0.00150Quantity Tons:

H141Method Code:
5Line Number:
013211995FLEManifest Number:
2019-06-20Shipment Date:

CAR000266254Generator EPA ID:
554430EM Manifest ID:
2019Year:

P075Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

2.000000Quantity Waste:

0.00100Quantity Tons:

H141Method Code:
4Line Number:
013211995FLEManifest Number:
2019-06-20Shipment Date:

CAR000266254Generator EPA ID:
554430EM Manifest ID:
2019Year:

U154Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

2.000000Quantity Waste:

0.00100Quantity Tons:

H141Method Code:
3Line Number:
013211995FLEManifest Number:
2019-06-20Shipment Date:

CAR000266254Generator EPA ID:
554430EM Manifest ID:
2019Year:

U002Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

2.000000Quantity Waste:

0.00100Quantity Tons:

H141Method Code:
3Line Number:
013211995FLEManifest Number:
2019-06-20Shipment Date:

CAR000266254Generator EPA ID:
554430EM Manifest ID:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 481
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation

2.000000Quantity Waste:

0.00100Quantity Tons:

H141Method Code:
4Line Number:
013211995FLEManifest Number:
2019-06-20Shipment Date:

CAR000266254Generator EPA ID:
554430EM Manifest ID:
2019Year:
331State Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

2.000000Quantity Waste:

0.00100Quantity Tons:

H141Method Code:
3Line Number:
013211995FLEManifest Number:
2019-06-20Shipment Date:

CAR000266254Generator EPA ID:
554430EM Manifest ID:
2019Year:
331State Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

4.000000Quantity Waste:

0.00200Quantity Tons:

H141Method Code:
2Line Number:
013211995FLEManifest Number:
2019-06-20Shipment Date:

CAR000266254Generator EPA ID:
554430EM Manifest ID:
2019Year:
331State Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

2.000000Quantity Waste:

0.00100Quantity Tons:

H141Method Code:
1Line Number:
013211995FLEManifest Number:
2019-06-20Shipment Date:

CAR000266254Generator EPA ID:
554430EM Manifest ID:
2019Year:

State:

D009Federal Code:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 482
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Not reportedTransporter Name 2:

MAD039322250Transporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Not reportedTransporter Name:

MAD039322250Transporter 1 EPA ID:

Not reportedContact Email:
669-230-8080Contact Telephone:

Reverse Logistics Team MemberContact:
800-483-3718Telephone:

CUPERTINO 95014City,State,Zip:

Not reportedAddress 2:
19499 STEVENS CREEK BLVDAddress:

TARGET 3224Name:

CAR000266254Generator EPA ID:
013269936FLEManifest Number:
5/16/2019Receipt Date:
5/9/2019Shipment Date:
5/9/2019Shipment Date:
555472EM Manifest ID:
2019Year:
331State Code:

PoundsQuantity Type:

Fiber or plastic boxes, cartons, casesType of Container:
1Number of Containers:

PQuantity Unit:

87.000000Quantity Waste:

0.04350Quantity Tons:

H141Method Code:
6Line Number:
013211995FLEManifest Number:
2019-06-20Shipment Date:

CAR000266254Generator EPA ID:
554430EM Manifest ID:
2019Year:
181State Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

3.000000Quantity Waste:

0.00150Quantity Tons:

H141Method Code:
5Line Number:
013211995FLEManifest Number:
2019-06-20Shipment Date:

CAR000266254Generator EPA ID:
554430EM Manifest ID:
2019Year:
331State Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 483
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

21.000000Quantity Waste:

0.01050Quantity Tons:

H141Method Code:
2Line Number:
013269936FLEManifest Number:
2019-05-09Shipment Date:

CAR000266254Generator EPA ID:
555472EM Manifest ID:
2019Year:

D035Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

34.000000Quantity Waste:

0.01700Quantity Tons:

H141Method Code:
1Line Number:
013269936FLEManifest Number:
2019-05-09Shipment Date:

CAR000266254Generator EPA ID:
555472EM Manifest ID:
2019Year:

D001Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

34.000000Quantity Waste:

0.01700Quantity Tons:

H141Method Code:
1Line Number:
013269936FLEManifest Number:
2019-05-09Shipment Date:

CAR000266254Generator EPA ID:
555472EM Manifest ID:
2019Year:

Federal:

Not reportedQuantity Unit:

Not reportedWaste Quantity:

Not reportedQuantity Tons:
- Not reportedMeth Code:

Not reportedRCRA Code:
- Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:
800-483-3718TSDF Telephone:

San Jose 95133TSDF City,State,Zip:

Not reportedTSDF Address 2:
1021 Berryessa RoadTSDF Address 1:

Clean Harbors San Jose LLCTSDF Name:

CAD059494310TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 484
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation

0.00300Quantity Tons:

H141Method Code:
3Line Number:
013269936FLEManifest Number:
2019-05-09Shipment Date:

CAR000266254Generator EPA ID:
555472EM Manifest ID:
2019Year:
331State Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

21.000000Quantity Waste:

0.01050Quantity Tons:

H141Method Code:
2Line Number:
013269936FLEManifest Number:
2019-05-09Shipment Date:

CAR000266254Generator EPA ID:
555472EM Manifest ID:
2019Year:
331State Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

34.000000Quantity Waste:

0.01700Quantity Tons:

H141Method Code:
1Line Number:
013269936FLEManifest Number:
2019-05-09Shipment Date:

CAR000266254Generator EPA ID:
555472EM Manifest ID:
2019Year:

State:

P075Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

6.000000Quantity Waste:

0.00300Quantity Tons:

H141Method Code:
3Line Number:
013269936FLEManifest Number:
2019-05-09Shipment Date:

CAR000266254Generator EPA ID:
555472EM Manifest ID:
2019Year:

D001Federal Code:

PoundsQuantity Type:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 485
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Not reportedQuantity Unit:

Not reportedWaste Quantity:

Not reportedQuantity Tons:
- Not reportedMeth Code:

Not reportedRCRA Code:
- Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:
800-483-3718TSDF Telephone:

San Jose 95133TSDF City,State,Zip:

Not reportedTSDF Address 2:
1021 Berryessa RoadTSDF Address 1:

Clean Harbors San Jose LLCTSDF Name:

CAD059494310TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Not reportedTransporter Name 2:

MAD039322250Transporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Not reportedTransporter Name:

MAD039322250Transporter 1 EPA ID:

Not reportedContact Email:
669-230-8080Contact Telephone:

Reverse Logistics Team MemberContact:
800-483-3718Telephone:

CUPERTINO 95014City,State,Zip:

Not reportedAddress 2:
19499 STEVENS CREEK BLVDAddress:

TARGET 3224Name:

CAR000266254Generator EPA ID:
013523738FLEManifest Number:
3/28/2019Receipt Date:
3/26/2019Shipment Date:
3/26/2019Shipment Date:
556285EM Manifest ID:
2019Year:
331State Code:

PoundsQuantity Type:

Fiber or plastic boxes, cartons, casesType of Container:
3Number of Containers:

PQuantity Unit:
315.000000Quantity Waste:

0.15750Quantity Tons:

H141Method Code:
4Line Number:
013269936FLEManifest Number:
2019-05-09Shipment Date:

CAR000266254Generator EPA ID:
555472EM Manifest ID:
2019Year:
331State Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

6.000000Quantity Waste:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 486
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
1Number of Containers:

PQuantity Unit:

8.000000Quantity Waste:

0.00400Quantity Tons:

H141Method Code:
3Line Number:
013523738FLEManifest Number:
2019-03-26Shipment Date:

CAR000266254Generator EPA ID:
556285EM Manifest ID:
2019Year:

D001Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

11.000000Quantity Waste:

0.00550Quantity Tons:

H141Method Code:
2Line Number:
013523738FLEManifest Number:
2019-03-26Shipment Date:

CAR000266254Generator EPA ID:
556285EM Manifest ID:
2019Year:

D035Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

6.000000Quantity Waste:

0.00300Quantity Tons:

H141Method Code:
1Line Number:
013523738FLEManifest Number:
2019-03-26Shipment Date:

CAR000266254Generator EPA ID:
556285EM Manifest ID:
2019Year:

D001Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

6.000000Quantity Waste:

0.00300Quantity Tons:

H141Method Code:
1Line Number:
013523738FLEManifest Number:
2019-03-26Shipment Date:

CAR000266254Generator EPA ID:
556285EM Manifest ID:
2019Year:

Federal:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 487
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation

0.00400Quantity Tons:

H141Method Code:
3Line Number:
013523738FLEManifest Number:
2019-03-26Shipment Date:

CAR000266254Generator EPA ID:
556285EM Manifest ID:
2019Year:

D011Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

8.000000Quantity Waste:

0.00400Quantity Tons:

H141Method Code:
3Line Number:
013523738FLEManifest Number:
2019-03-26Shipment Date:

CAR000266254Generator EPA ID:
556285EM Manifest ID:
2019Year:

D007Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

8.000000Quantity Waste:

0.00400Quantity Tons:

H141Method Code:
3Line Number:
013523738FLEManifest Number:
2019-03-26Shipment Date:

CAR000266254Generator EPA ID:
556285EM Manifest ID:
2019Year:

D005Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

8.000000Quantity Waste:

0.00400Quantity Tons:

H141Method Code:
3Line Number:
013523738FLEManifest Number:
2019-03-26Shipment Date:

CAR000266254Generator EPA ID:
556285EM Manifest ID:
2019Year:

D001Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 488
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
013523738FLEManifest Number:
2019-03-26Shipment Date:

CAR000266254Generator EPA ID:
556285EM Manifest ID:
2019Year:

U154Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

8.000000Quantity Waste:

0.00400Quantity Tons:

H141Method Code:
3Line Number:
013523738FLEManifest Number:
2019-03-26Shipment Date:

CAR000266254Generator EPA ID:
556285EM Manifest ID:
2019Year:

U002Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

8.000000Quantity Waste:

0.00400Quantity Tons:

H141Method Code:
3Line Number:
013523738FLEManifest Number:
2019-03-26Shipment Date:

CAR000266254Generator EPA ID:
556285EM Manifest ID:
2019Year:

D035Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

8.000000Quantity Waste:

0.00400Quantity Tons:

H141Method Code:
3Line Number:
013523738FLEManifest Number:
2019-03-26Shipment Date:

CAR000266254Generator EPA ID:
556285EM Manifest ID:
2019Year:

D018Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

8.000000Quantity Waste:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 489
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
2019Year:
331State Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

6.000000Quantity Waste:

0.00300Quantity Tons:

H141Method Code:
1Line Number:
013523738FLEManifest Number:
2019-03-26Shipment Date:

CAR000266254Generator EPA ID:
556285EM Manifest ID:
2019Year:

State:

D002Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

5.000000Quantity Waste:

0.00250Quantity Tons:

H141Method Code:
6Line Number:
013523738FLEManifest Number:
2019-03-26Shipment Date:

CAR000266254Generator EPA ID:
556285EM Manifest ID:
2019Year:

P075Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

1.000000Quantity Waste:

0.00050Quantity Tons:

H141Method Code:
5Line Number:
013523738FLEManifest Number:
2019-03-26Shipment Date:

CAR000266254Generator EPA ID:
556285EM Manifest ID:
2019Year:

D001Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

3.000000Quantity Waste:

0.00150Quantity Tons:

H141Method Code:
4Line Number:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 490
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

1.000000Quantity Waste:

0.00050Quantity Tons:

H141Method Code:
5Line Number:
013523738FLEManifest Number:
2019-03-26Shipment Date:

CAR000266254Generator EPA ID:
556285EM Manifest ID:
2019Year:
141State Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

3.000000Quantity Waste:

0.00150Quantity Tons:

H141Method Code:
4Line Number:
013523738FLEManifest Number:
2019-03-26Shipment Date:

CAR000266254Generator EPA ID:
556285EM Manifest ID:
2019Year:
331State Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

8.000000Quantity Waste:

0.00400Quantity Tons:

H141Method Code:
3Line Number:
013523738FLEManifest Number:
2019-03-26Shipment Date:

CAR000266254Generator EPA ID:
556285EM Manifest ID:
2019Year:
331State Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

11.000000Quantity Waste:

0.00550Quantity Tons:

H141Method Code:
2Line Number:
013523738FLEManifest Number:
2019-03-26Shipment Date:

CAR000266254Generator EPA ID:
556285EM Manifest ID:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 491
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
1021 Berryessa RoadTSDF Address 1:

Clean Harbors San Jose LLCTSDF Name:

CAD059494310TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Not reportedTransporter Name 2:

MAD039322250Transporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Not reportedTransporter Name:

MAD039322250Transporter 1 EPA ID:

Not reportedContact Email:
669-230-8080Contact Telephone:

Reverse Logistics Team MemberContact:
800-483-3718Telephone:

CUPERTINO 95014City,State,Zip:

Not reportedAddress 2:
19499 STEVENS CREEK BLVDAddress:

TARGET 3224Name:

CAR000266254Generator EPA ID:
013269921FLEManifest Number:
2/28/2019Receipt Date:
2/26/2019Shipment Date:
2/26/2019Shipment Date:
555468EM Manifest ID:
2019Year:
331State Code:

PoundsQuantity Type:

Fiber or plastic boxes, cartons, casesType of Container:
2Number of Containers:

PQuantity Unit:
192.000000Quantity Waste:

0.09600Quantity Tons:

H141Method Code:
7Line Number:
013523738FLEManifest Number:
2019-03-26Shipment Date:

CAR000266254Generator EPA ID:
556285EM Manifest ID:
2019Year:
122State Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

5.000000Quantity Waste:

0.00250Quantity Tons:

H141Method Code:
6Line Number:
013523738FLEManifest Number:
2019-03-26Shipment Date:

CAR000266254Generator EPA ID:
556285EM Manifest ID:
2019Year:
331State Code:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 492
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
2019Year:

D001Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

52.000000Quantity Waste:

0.02600Quantity Tons:

H141Method Code:
2Line Number:
013269921FLEManifest Number:
2019-02-26Shipment Date:

CAR000266254Generator EPA ID:
555468EM Manifest ID:
2019Year:

D035Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

42.000000Quantity Waste:

0.02100Quantity Tons:

H141Method Code:
1Line Number:
013269921FLEManifest Number:
2019-02-26Shipment Date:

CAR000266254Generator EPA ID:
555468EM Manifest ID:
2019Year:

D001Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

42.000000Quantity Waste:

0.02100Quantity Tons:

H141Method Code:
1Line Number:
013269921FLEManifest Number:
2019-02-26Shipment Date:

CAR000266254Generator EPA ID:
555468EM Manifest ID:
2019Year:

Federal:

Not reportedQuantity Unit:

Not reportedWaste Quantity:

Not reportedQuantity Tons:
- Not reportedMeth Code:

Not reportedRCRA Code:
- Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:
800-483-3718TSDF Telephone:

San Jose 95133TSDF City,State,Zip:

Not reportedTSDF Address 2:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 493
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

52.000000Quantity Waste:

0.02600Quantity Tons:

H141Method Code:
2Line Number:
013269921FLEManifest Number:
2019-02-26Shipment Date:

CAR000266254Generator EPA ID:
555468EM Manifest ID:
2019Year:

D011Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

52.000000Quantity Waste:

0.02600Quantity Tons:

H141Method Code:
2Line Number:
013269921FLEManifest Number:
2019-02-26Shipment Date:

CAR000266254Generator EPA ID:
555468EM Manifest ID:
2019Year:

D007Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

52.000000Quantity Waste:

0.02600Quantity Tons:

H141Method Code:
2Line Number:
013269921FLEManifest Number:
2019-02-26Shipment Date:

CAR000266254Generator EPA ID:
555468EM Manifest ID:
2019Year:

D005Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

52.000000Quantity Waste:

0.02600Quantity Tons:

H141Method Code:
2Line Number:
013269921FLEManifest Number:
2019-02-26Shipment Date:

CAR000266254Generator EPA ID:
555468EM Manifest ID:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 494
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation

42.000000Quantity Waste:

0.02100Quantity Tons:

H141Method Code:
1Line Number:
013269921FLEManifest Number:
2019-02-26Shipment Date:

CAR000266254Generator EPA ID:
555468EM Manifest ID:
2019Year:

State:

U154Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

52.000000Quantity Waste:

0.02600Quantity Tons:

H141Method Code:
2Line Number:
013269921FLEManifest Number:
2019-02-26Shipment Date:

CAR000266254Generator EPA ID:
555468EM Manifest ID:
2019Year:

U002Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

52.000000Quantity Waste:

0.02600Quantity Tons:

H141Method Code:
2Line Number:
013269921FLEManifest Number:
2019-02-26Shipment Date:

CAR000266254Generator EPA ID:
555468EM Manifest ID:
2019Year:

D035Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

52.000000Quantity Waste:

0.02600Quantity Tons:

H141Method Code:
2Line Number:
013269921FLEManifest Number:
2019-02-26Shipment Date:

CAR000266254Generator EPA ID:
555468EM Manifest ID:
2019Year:

D018Federal Code:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 495
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Not reportedTransporter Name 2:

MAD039322250Transporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Not reportedTransporter Name:

MAD039322250Transporter 1 EPA ID:

Not reportedContact Email:
669-230-8080Contact Telephone:

Reverse Logistics Team MemberContact:
800-483-3718Telephone:

CUPERTINO 95014City,State,Zip:

Not reportedAddress 2:
19499 STEVENS CREEK BLVDAddress:

TARGET 3224Name:

CAR000266254Generator EPA ID:
012854295FLEManifest Number:
12/12/2018Receipt Date:
12/7/2018Shipment Date:
12/7/2018Shipment Date:
224125EM Manifest ID:
2019Year:
331State Code:

PoundsQuantity Type:

Fiber or plastic boxes, cartons, casesType of Container:
1Number of Containers:

PQuantity Unit:
163.000000Quantity Waste:

0.08150Quantity Tons:

H141Method Code:
3Line Number:
013269921FLEManifest Number:
2019-02-26Shipment Date:

CAR000266254Generator EPA ID:
555468EM Manifest ID:
2019Year:
331State Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

52.000000Quantity Waste:

0.02600Quantity Tons:

H141Method Code:
2Line Number:
013269921FLEManifest Number:
2019-02-26Shipment Date:

CAR000266254Generator EPA ID:
555468EM Manifest ID:
2019Year:
331State Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 496
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

1.000000Quantity Waste:

0.00050Quantity Tons:

H141Method Code:
2Line Number:
012854295FLEManifest Number:
2018-12-07Shipment Date:

CAR000266254Generator EPA ID:
224125EM Manifest ID:
2019Year:

D035Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

13.000000Quantity Waste:

0.00650Quantity Tons:

H141Method Code:
1Line Number:
012854295FLEManifest Number:
2018-12-07Shipment Date:

CAR000266254Generator EPA ID:
224125EM Manifest ID:
2019Year:

D001Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

13.000000Quantity Waste:

0.00650Quantity Tons:

H141Method Code:
1Line Number:
012854295FLEManifest Number:
2018-12-07Shipment Date:

CAR000266254Generator EPA ID:
224125EM Manifest ID:
2019Year:

Federal:

Not reportedQuantity Unit:

Not reportedWaste Quantity:

Not reportedQuantity Tons:
- Not reportedMeth Code:

Not reportedRCRA Code:
- Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:
800-483-3718TSDF Telephone:

San Jose 95133TSDF City,State,Zip:

Not reportedTSDF Address 2:
1021 Berryessa RoadTSDF Address 1:

Clean Harbors San Jose LLCTSDF Name:

CAD059494310TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 497
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
114.000000Quantity Waste:

0.05700Quantity Tons:

H141Method Code:
4Line Number:
012854295FLEManifest Number:
2018-12-07Shipment Date:

CAR000266254Generator EPA ID:
224125EM Manifest ID:
2019Year:

D005Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
2Number of Containers:

PQuantity Unit:
114.000000Quantity Waste:

0.05700Quantity Tons:

H141Method Code:
4Line Number:
012854295FLEManifest Number:
2018-12-07Shipment Date:

CAR000266254Generator EPA ID:
224125EM Manifest ID:
2019Year:

D001Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
2Number of Containers:

PQuantity Unit:
114.000000Quantity Waste:

0.05700Quantity Tons:

H141Method Code:
4Line Number:
012854295FLEManifest Number:
2018-12-07Shipment Date:

CAR000266254Generator EPA ID:
224125EM Manifest ID:
2019Year:

D001Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

10.000000Quantity Waste:

0.00500Quantity Tons:

H141Method Code:
3Line Number:
012854295FLEManifest Number:
2018-12-07Shipment Date:

CAR000266254Generator EPA ID:
224125EM Manifest ID:
2019Year:

D001Federal Code:

PoundsQuantity Type:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 498
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
4Line Number:
012854295FLEManifest Number:
2018-12-07Shipment Date:

CAR000266254Generator EPA ID:
224125EM Manifest ID:
2019Year:

D035Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
2Number of Containers:

PQuantity Unit:
114.000000Quantity Waste:

0.05700Quantity Tons:

H141Method Code:
4Line Number:
012854295FLEManifest Number:
2018-12-07Shipment Date:

CAR000266254Generator EPA ID:
224125EM Manifest ID:
2019Year:

D018Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
2Number of Containers:

PQuantity Unit:
114.000000Quantity Waste:

0.05700Quantity Tons:

H141Method Code:
4Line Number:
012854295FLEManifest Number:
2018-12-07Shipment Date:

CAR000266254Generator EPA ID:
224125EM Manifest ID:
2019Year:

D011Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
2Number of Containers:

PQuantity Unit:
114.000000Quantity Waste:

0.05700Quantity Tons:

H141Method Code:
4Line Number:
012854295FLEManifest Number:
2018-12-07Shipment Date:

CAR000266254Generator EPA ID:
224125EM Manifest ID:
2019Year:

D007Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
2Number of Containers:

PQuantity Unit:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 499
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
224125EM Manifest ID:
2019Year:

State:

P075Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

1.000000Quantity Waste:

0.00050Quantity Tons:

H141Method Code:
6Line Number:
012854295FLEManifest Number:
2018-12-07Shipment Date:

CAR000266254Generator EPA ID:
224125EM Manifest ID:
2019Year:

D001Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

1.000000Quantity Waste:

0.00050Quantity Tons:

H141Method Code:
5Line Number:
012854295FLEManifest Number:
2018-12-07Shipment Date:

CAR000266254Generator EPA ID:
224125EM Manifest ID:
2019Year:

U154Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
2Number of Containers:

PQuantity Unit:
114.000000Quantity Waste:

0.05700Quantity Tons:

H141Method Code:
4Line Number:
012854295FLEManifest Number:
2018-12-07Shipment Date:

CAR000266254Generator EPA ID:
224125EM Manifest ID:
2019Year:

U002Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
2Number of Containers:

PQuantity Unit:
114.000000Quantity Waste:

0.05700Quantity Tons:

H141Method Code:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 500
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
331State Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
2Number of Containers:

PQuantity Unit:
114.000000Quantity Waste:

0.05700Quantity Tons:

H141Method Code:
4Line Number:
012854295FLEManifest Number:
2018-12-07Shipment Date:

CAR000266254Generator EPA ID:
224125EM Manifest ID:
2019Year:
331State Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

10.000000Quantity Waste:

0.00500Quantity Tons:

H141Method Code:
3Line Number:
012854295FLEManifest Number:
2018-12-07Shipment Date:

CAR000266254Generator EPA ID:
224125EM Manifest ID:
2019Year:
331State Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

1.000000Quantity Waste:

0.00050Quantity Tons:

H141Method Code:
2Line Number:
012854295FLEManifest Number:
2018-12-07Shipment Date:

CAR000266254Generator EPA ID:
224125EM Manifest ID:
2019Year:
331State Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

13.000000Quantity Waste:

0.00650Quantity Tons:

H141Method Code:
1Line Number:
012854295FLEManifest Number:
2018-12-07Shipment Date:

CAR000266254Generator EPA ID:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 501
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
CUPERTINO 95014City,State,Zip:

Not reportedAddress 2:
19499 STEVENS CREEK BLVDAddress:

TARGET 3224Name:

CAR000266254Generator EPA ID:
014225708FLEManifest Number:
12/9/2019Receipt Date:
12/2/2019Shipment Date:
12/2/2019Shipment Date:
862089EM Manifest ID:
2019Year:
331State Code:

PoundsQuantity Type:

Fiber or plastic boxes, cartons, casesType of Container:
1Number of Containers:

PQuantity Unit:
139.000000Quantity Waste:

0.06950Quantity Tons:

H141Method Code:
7Line Number:
012854295FLEManifest Number:
2018-12-07Shipment Date:

CAR000266254Generator EPA ID:
224125EM Manifest ID:
2019Year:
331State Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

1.000000Quantity Waste:

0.00050Quantity Tons:

H141Method Code:
6Line Number:
012854295FLEManifest Number:
2018-12-07Shipment Date:

CAR000266254Generator EPA ID:
224125EM Manifest ID:
2019Year:
141State Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

1.000000Quantity Waste:

0.00050Quantity Tons:

H141Method Code:
5Line Number:
012854295FLEManifest Number:
2018-12-07Shipment Date:

CAR000266254Generator EPA ID:
224125EM Manifest ID:
2019Year:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 502
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
CAR000266254Generator EPA ID:
862089EM Manifest ID:
2019Year:

D035Federal Code:

PoundsQuantity Type:

Fiber or plastic boxes, cartons, casesType of Container:
1Number of Containers:

PQuantity Unit:

10.000000Quantity Waste:

0.00500Quantity Tons:

H141Method Code:
1Line Number:
014225708FLEManifest Number:
2019-12-02Shipment Date:

CAR000266254Generator EPA ID:
862089EM Manifest ID:
2019Year:

D001Federal Code:

PoundsQuantity Type:

Fiber or plastic boxes, cartons, casesType of Container:
1Number of Containers:

PQuantity Unit:

10.000000Quantity Waste:

0.00500Quantity Tons:

H141Method Code:
1Line Number:
014225708FLEManifest Number:
2019-12-02Shipment Date:

CAR000266254Generator EPA ID:
862089EM Manifest ID:
2019Year:

Federal:

Not reportedQuantity Unit:

Not reportedWaste Quantity:

Not reportedQuantity Tons:
- Not reportedMeth Code:

Not reportedRCRA Code:
- Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:
800-483-3718TSDF Telephone:

San Jose 95133TSDF City,State,Zip:

Not reportedTSDF Address 2:
1021 Berryessa RoadTSDF Address 1:

Clean Harbors San Jose LLCTSDF Name:

CAD059494310TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Not reportedTransporter Name 2:

MAD039322250Transporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Not reportedTransporter Name:

MAD039322250Transporter 1 EPA ID:

Not reportedContact Email:
669-230-8080Contact Telephone:

Reverse Logistics Team MemberContact:
800-483-3718Telephone:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 503
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
D005Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

10.000000Quantity Waste:

0.00500Quantity Tons:

H141Method Code:
4Line Number:
014225708FLEManifest Number:
2019-12-02Shipment Date:

CAR000266254Generator EPA ID:
862089EM Manifest ID:
2019Year:

D001Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

10.000000Quantity Waste:

0.00500Quantity Tons:

H141Method Code:
4Line Number:
014225708FLEManifest Number:
2019-12-02Shipment Date:

CAR000266254Generator EPA ID:
862089EM Manifest ID:
2019Year:

D001Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

56.000000Quantity Waste:

0.02800Quantity Tons:

H141Method Code:
3Line Number:
014225708FLEManifest Number:
2019-12-02Shipment Date:

CAR000266254Generator EPA ID:
862089EM Manifest ID:
2019Year:

D001Federal Code:

PoundsQuantity Type:

Metal drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

2.000000Quantity Waste:

0.00100Quantity Tons:

H141Method Code:
2Line Number:
014225708FLEManifest Number:
2019-12-02Shipment Date:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 504
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

10.000000Quantity Waste:

0.00500Quantity Tons:

H141Method Code:
4Line Number:
014225708FLEManifest Number:
2019-12-02Shipment Date:

CAR000266254Generator EPA ID:
862089EM Manifest ID:
2019Year:

D018Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

10.000000Quantity Waste:

0.00500Quantity Tons:

H141Method Code:
4Line Number:
014225708FLEManifest Number:
2019-12-02Shipment Date:

CAR000266254Generator EPA ID:
862089EM Manifest ID:
2019Year:

D011Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

10.000000Quantity Waste:

0.00500Quantity Tons:

H141Method Code:
4Line Number:
014225708FLEManifest Number:
2019-12-02Shipment Date:

CAR000266254Generator EPA ID:
862089EM Manifest ID:
2019Year:

D007Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

10.000000Quantity Waste:

0.00500Quantity Tons:

H141Method Code:
4Line Number:
014225708FLEManifest Number:
2019-12-02Shipment Date:

CAR000266254Generator EPA ID:
862089EM Manifest ID:
2019Year:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 505
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation

1.000000Quantity Waste:

0.00050Quantity Tons:

H141Method Code:
6Line Number:
014225708FLEManifest Number:
2019-12-02Shipment Date:

CAR000266254Generator EPA ID:
862089EM Manifest ID:
2019Year:

D001Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

2.000000Quantity Waste:

0.00100Quantity Tons:

H141Method Code:
5Line Number:
014225708FLEManifest Number:
2019-12-02Shipment Date:

CAR000266254Generator EPA ID:
862089EM Manifest ID:
2019Year:

U154Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

10.000000Quantity Waste:

0.00500Quantity Tons:

H141Method Code:
4Line Number:
014225708FLEManifest Number:
2019-12-02Shipment Date:

CAR000266254Generator EPA ID:
862089EM Manifest ID:
2019Year:

U002Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

10.000000Quantity Waste:

0.00500Quantity Tons:

H141Method Code:
4Line Number:
014225708FLEManifest Number:
2019-12-02Shipment Date:

CAR000266254Generator EPA ID:
862089EM Manifest ID:
2019Year:

D035Federal Code:

PoundsQuantity Type:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 506
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
014225708FLEManifest Number:
2019-12-02Shipment Date:

CAR000266254Generator EPA ID:
862089EM Manifest ID:
2019Year:
331State Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

56.000000Quantity Waste:

0.02800Quantity Tons:

H141Method Code:
3Line Number:
014225708FLEManifest Number:
2019-12-02Shipment Date:

CAR000266254Generator EPA ID:
862089EM Manifest ID:
2019Year:
331State Code:

PoundsQuantity Type:

Metal drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

2.000000Quantity Waste:

0.00100Quantity Tons:

H141Method Code:
2Line Number:
014225708FLEManifest Number:
2019-12-02Shipment Date:

CAR000266254Generator EPA ID:
862089EM Manifest ID:
2019Year:
331State Code:

PoundsQuantity Type:

Fiber or plastic boxes, cartons, casesType of Container:
1Number of Containers:

PQuantity Unit:

10.000000Quantity Waste:

0.00500Quantity Tons:

H141Method Code:
1Line Number:
014225708FLEManifest Number:
2019-12-02Shipment Date:

CAR000266254Generator EPA ID:
862089EM Manifest ID:
2019Year:

State:

P075Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 507
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
2019Year:
331State Code:

PoundsQuantity Type:

Fiber or plastic boxes, cartons, casesType of Container:
1Number of Containers:

PQuantity Unit:
112.000000Quantity Waste:

0.05600Quantity Tons:

H141Method Code:
7Line Number:
014225708FLEManifest Number:
2019-12-02Shipment Date:

CAR000266254Generator EPA ID:
862089EM Manifest ID:
2019Year:
331State Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

1.000000Quantity Waste:

0.00050Quantity Tons:

H141Method Code:
6Line Number:
014225708FLEManifest Number:
2019-12-02Shipment Date:

CAR000266254Generator EPA ID:
862089EM Manifest ID:
2019Year:
141State Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

2.000000Quantity Waste:

0.00100Quantity Tons:

H141Method Code:
5Line Number:
014225708FLEManifest Number:
2019-12-02Shipment Date:

CAR000266254Generator EPA ID:
862089EM Manifest ID:
2019Year:
331State Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

10.000000Quantity Waste:

0.00500Quantity Tons:

H141Method Code:
4Line Number:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 508
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation

0.00250Quantity Tons:

H141Method Code:
1Line Number:
006817465FLEManifest Number:
2019-10-29Shipment Date:

CAR000266254Generator EPA ID:
803035EM Manifest ID:
2019Year:

D001Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

5.000000Quantity Waste:

0.00250Quantity Tons:

H141Method Code:
1Line Number:
006817465FLEManifest Number:
2019-10-29Shipment Date:

CAR000266254Generator EPA ID:
803035EM Manifest ID:
2019Year:

Federal:

Not reportedQuantity Unit:

Not reportedWaste Quantity:

Not reportedQuantity Tons:
- Not reportedMeth Code:

Not reportedRCRA Code:
- Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:
800-483-3718TSDF Telephone:

Reidsville 27320TSDF City,State,Zip:

Not reportedTSDF Address 2:
208 Watlington Industrial DriveTSDF Address 1:

Clean Harbors Reidsville LLCTSDF Name:

NCD000648451TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Not reportedTransporter Name 2:

MAD039322250Transporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Not reportedTransporter Name:

MAD039322250Transporter 1 EPA ID:

Not reportedContact Email:
888-999-1234Contact Telephone:

Store ManagerContact:
800-483-3718Telephone:

BARNSTABLE 2601City,State,Zip:

Not reportedAddress 2:
793 IYANNOUGH RDAddress:

TARGET 3324Name:

CAR000266254Generator EPA ID:
006817465FLEManifest Number:
11/15/2019Receipt Date:
10/29/2019Shipment Date:
10/29/2019Shipment Date:
803035EM Manifest ID:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 509
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Not reportedWaste Quantity:

Not reportedQuantity Tons:
- Not reportedMeth Code:

Not reportedRCRA Code:
- Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:
800-483-3718TSDF Telephone:

San Jose 95133TSDF City,State,Zip:

Not reportedTSDF Address 2:
1021 Berryessa RoadTSDF Address 1:

Clean Harbors San Jose LLCTSDF Name:

CAD059494310TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Not reportedTransporter Name 2:

MAD039322250Transporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Not reportedTransporter Name:

MAD039322250Transporter 1 EPA ID:

Not reportedContact Email:
669-230-8080Contact Telephone:

Reverse Logistics Team MemberContact:
800-483-3718Telephone:

CUPERTINO 95014City,State,Zip:

Not reportedAddress 2:
19499 STEVENS CREEK BLVDAddress:

TARGET 3224Name:

CAR000266254Generator EPA ID:
013897621FLEManifest Number:
10/28/2019Receipt Date:
10/22/2019Shipment Date:
10/22/2019Shipment Date:
705187EM Manifest ID:
2019Year:

MA99State Code:

PoundsQuantity Type:

Fiber or plastic boxes, cartons, casesType of Container:
1Number of Containers:

PQuantity Unit:
126.000000Quantity Waste:

0.06300Quantity Tons:

H141Method Code:
2Line Number:
006817465FLEManifest Number:
2019-10-29Shipment Date:

CAR000266254Generator EPA ID:
803035EM Manifest ID:
2019Year:

State:

D035Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

5.000000Quantity Waste:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 510
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation

0.10700Quantity Tons:

H141Method Code:
2Line Number:
013897621FLEManifest Number:
2019-10-22Shipment Date:

CAR000266254Generator EPA ID:
705187EM Manifest ID:
2019Year:
331State Code:

PoundsQuantity Type:

Metal drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

7.000000Quantity Waste:

0.00350Quantity Tons:

H141Method Code:
1Line Number:
013897621FLEManifest Number:
2019-10-22Shipment Date:

CAR000266254Generator EPA ID:
705187EM Manifest ID:
2019Year:

State:

D035Federal Code:

PoundsQuantity Type:

Metal drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

7.000000Quantity Waste:

0.00350Quantity Tons:

H141Method Code:
1Line Number:
013897621FLEManifest Number:
2019-10-22Shipment Date:

CAR000266254Generator EPA ID:
705187EM Manifest ID:
2019Year:

D001Federal Code:

PoundsQuantity Type:

Metal drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

7.000000Quantity Waste:

0.00350Quantity Tons:

H141Method Code:
1Line Number:
013897621FLEManifest Number:
2019-10-22Shipment Date:

CAR000266254Generator EPA ID:
705187EM Manifest ID:
2019Year:

Federal:

Not reportedQuantity Unit:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 511
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

5.000000Quantity Waste:

0.00250Quantity Tons:

H141Method Code:
1Line Number:
012238869FLEManifest Number:
2018-09-14Shipment Date:

CAR000266254Generator EPA ID:
147820EM Manifest ID:
2018Year:

Federal:

Not reportedQuantity Unit:

Not reportedWaste Quantity:

Not reportedQuantity Tons:
- Not reportedMeth Code:

Not reportedRCRA Code:
- Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:
800-483-3718TSDF Telephone:

San Jose 95133TSDF City,State,Zip:

Not reportedTSDF Address 2:
1021 Berryessa RoadTSDF Address 1:

Clean Harbors San Jose LLCTSDF Name:

CAD059494310TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Not reportedTransporter Name 2:

MAD039322250Transporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Not reportedTransporter Name:

MAD039322250Transporter 1 EPA ID:

Not reportedContact Email:
669-230-8080Contact Telephone:

Reverse Logistics Team MemberContact:
800-483-3718Telephone:

CUPERTINO 95014City,State,Zip:

Not reportedAddress 2:
19499 STEVENS CREEK BLVDAddress:

TARGET 3224Name:

CAR000266254Generator EPA ID:
012238869FLEManifest Number:
9/19/2018Receipt Date:
9/14/2018Shipment Date:
9/14/2018Shipment Date:
147820EM Manifest ID:
2018Year:

Additional Information:
331State Code:

PoundsQuantity Type:

Fiber or plastic boxes, cartons, casesType of Container:
2Number of Containers:

PQuantity Unit:
214.000000Quantity Waste:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 512
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation

0.00250Quantity Tons:

H141Method Code:
1Line Number:
012238869FLEManifest Number:
2018-09-14Shipment Date:

CAR000266254Generator EPA ID:
147820EM Manifest ID:
2018Year:

State:

D002Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

6.000000Quantity Waste:

0.00300Quantity Tons:

H141Method Code:
3Line Number:
012238869FLEManifest Number:
2018-09-14Shipment Date:

CAR000266254Generator EPA ID:
147820EM Manifest ID:
2018Year:

D001Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

65.000000Quantity Waste:

0.03250Quantity Tons:

H141Method Code:
2Line Number:
012238869FLEManifest Number:
2018-09-14Shipment Date:

CAR000266254Generator EPA ID:
147820EM Manifest ID:
2018Year:

D035Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

5.000000Quantity Waste:

0.00250Quantity Tons:

H141Method Code:
1Line Number:
012238869FLEManifest Number:
2018-09-14Shipment Date:

CAR000266254Generator EPA ID:
147820EM Manifest ID:
2018Year:

D001Federal Code:

PoundsQuantity Type:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 513
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
8/15/2018Shipment Date:
8/15/2018Shipment Date:
72258EM Manifest ID:
2018Year:
331State Code:

PoundsQuantity Type:

Fiber or plastic boxes, cartons, casesType of Container:
1Number of Containers:

PQuantity Unit:
120.000000Quantity Waste:

0.06000Quantity Tons:

H141Method Code:
4Line Number:
012238869FLEManifest Number:
2018-09-14Shipment Date:

CAR000266254Generator EPA ID:
147820EM Manifest ID:
2018Year:
122State Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

6.000000Quantity Waste:

0.00300Quantity Tons:

H141Method Code:
3Line Number:
012238869FLEManifest Number:
2018-09-14Shipment Date:

CAR000266254Generator EPA ID:
147820EM Manifest ID:
2018Year:
331State Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

65.000000Quantity Waste:

0.03250Quantity Tons:

H141Method Code:
2Line Number:
012238869FLEManifest Number:
2018-09-14Shipment Date:

CAR000266254Generator EPA ID:
147820EM Manifest ID:
2018Year:
331State Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

5.000000Quantity Waste:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 514
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
1Number of Containers:

PQuantity Unit:

2.000000Quantity Waste:

0.00100Quantity Tons:

H141Method Code:
1Line Number:
011889936FLEManifest Number:
2018-08-15Shipment Date:

CAR000266254Generator EPA ID:
72258EM Manifest ID:
2018Year:

D001Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

2.000000Quantity Waste:

0.00100Quantity Tons:

H141Method Code:
1Line Number:
011889936FLEManifest Number:
2018-08-15Shipment Date:

CAR000266254Generator EPA ID:
72258EM Manifest ID:
2018Year:

Federal:

Not reportedQuantity Unit:

Not reportedWaste Quantity:

Not reportedQuantity Tons:
- Not reportedMeth Code:

Not reportedRCRA Code:
- Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:
800-483-3718TSDF Telephone:

San Jose 95133TSDF City,State,Zip:

Not reportedTSDF Address 2:
1021 Berryessa RoadTSDF Address 1:

Clean Harbors San Jose LLCTSDF Name:

CAD059494310TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Not reportedTransporter Name 2:

MAD039322250Transporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Not reportedTransporter Name:

MAD039322250Transporter 1 EPA ID:

Not reportedContact Email:
669-230-8080Contact Telephone:

Reverse Logistics Team MemberContact:
800-483-3718Telephone:

CUPERTINO 95014City,State,Zip:

Not reportedAddress 2:
19499 STEVENS CREEK BLVDAddress:

TARGET 3224Name:

CAR000266254Generator EPA ID:
011889936FLEManifest Number:
8/29/2018Receipt Date:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 515
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation

0.00100Quantity Tons:

H141Method Code:
1Line Number:
011889936FLEManifest Number:
2018-08-15Shipment Date:

CAR000266254Generator EPA ID:
72258EM Manifest ID:
2018Year:

D018Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

2.000000Quantity Waste:

0.00100Quantity Tons:

H141Method Code:
1Line Number:
011889936FLEManifest Number:
2018-08-15Shipment Date:

CAR000266254Generator EPA ID:
72258EM Manifest ID:
2018Year:

D011Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

2.000000Quantity Waste:

0.00100Quantity Tons:

H141Method Code:
1Line Number:
011889936FLEManifest Number:
2018-08-15Shipment Date:

CAR000266254Generator EPA ID:
72258EM Manifest ID:
2018Year:

D007Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

2.000000Quantity Waste:

0.00100Quantity Tons:

H141Method Code:
1Line Number:
011889936FLEManifest Number:
2018-08-15Shipment Date:

CAR000266254Generator EPA ID:
72258EM Manifest ID:
2018Year:

D005Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 516
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
2018-08-15Shipment Date:

CAR000266254Generator EPA ID:
72258EM Manifest ID:
2018Year:
331State Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

2.000000Quantity Waste:

0.00100Quantity Tons:

H141Method Code:
1Line Number:
011889936FLEManifest Number:
2018-08-15Shipment Date:

CAR000266254Generator EPA ID:
72258EM Manifest ID:
2018Year:

State:

U154Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

2.000000Quantity Waste:

0.00100Quantity Tons:

H141Method Code:
1Line Number:
011889936FLEManifest Number:
2018-08-15Shipment Date:

CAR000266254Generator EPA ID:
72258EM Manifest ID:
2018Year:

U002Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

2.000000Quantity Waste:

0.00100Quantity Tons:

H141Method Code:
1Line Number:
011889936FLEManifest Number:
2018-08-15Shipment Date:

CAR000266254Generator EPA ID:
72258EM Manifest ID:
2018Year:

D035Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

2.000000Quantity Waste:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 517
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
PQuantity Unit:

10.000000Quantity Waste:

0.00500Quantity Tons:

H040Method Code:
1Line Number:
011011262FLEManifest Number:
2017-07-08Shipment Date:

CAR000266254Generator EPA ID:
011011262FLE20170703_D_1EM Manifest ID:
2018Year:

State:

Not reportedQuantity Unit:

Not reportedWaste Quantity:

Not reportedQuantity Tons:
- Not reportedMeth Code:

Not reportedRCRA Code:
- Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:

Not reportedTSDF Telephone:

Not reportedTSDF City,State,Zip:

Not reportedTSDF Address 2:

Not reportedTSDF Address 1:

CLEAN HARBORS EL DORADO LLCTSDF Name:

ARD069748192TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Not reportedTransporter Name 2:

MOD095038998Transporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Not reportedTransporter Name:

MAD039322250Transporter 1 EPA ID:

Not reportedContact Email:

Not reportedContact Telephone:

Not reportedContact:

Not reportedTelephone:

Not reportedCity,State,Zip:

Not reportedAddress 2:

Not reportedAddress:

TARGET 5221Name:

CAR000266254Generator EPA ID:
011011262FLEManifest Number:
7/25/2017Receipt Date:
7/8/2017Shipment Date:
7/8/2017Shipment Date:
011011262FLE20170703_D_1EM Manifest ID:
2018Year:
331State Code:

PoundsQuantity Type:

Fiber or plastic boxes, cartons, casesType of Container:
1Number of Containers:

PQuantity Unit:
143.000000Quantity Waste:

0.07150Quantity Tons:

H141Method Code:
2Line Number:
011889936FLEManifest Number:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 518
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
2018Year:

Federal:

Not reportedQuantity Unit:

Not reportedWaste Quantity:

Not reportedQuantity Tons:
- Not reportedMeth Code:

Not reportedRCRA Code:
- Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:
800-483-3718TSDF Telephone:

San Jose 95133TSDF City,State,Zip:

Not reportedTSDF Address 2:
1021 Berryessa RoadTSDF Address 1:

Clean Harbors San Jose LLCTSDF Name:

CAD059494310TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Not reportedTransporter Name 2:

NJD986607380Transporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Not reportedTransporter Name:

MAD039322250Transporter 1 EPA ID:

Not reportedContact Email:
669-230-8080Contact Telephone:

Reverse Logistics Team MemberContact:
800-483-3718Telephone:

CUPERTINO 95014City,State,Zip:

Not reportedAddress 2:
19499 STEVENS CREEK BLVDAddress:

TARGET 3224Name:

CAR000266254Generator EPA ID:
012238511FLEManifest Number:
7/25/2018Receipt Date:
7/19/2018Shipment Date:
7/19/2018Shipment Date:
76369EM Manifest ID:
2018Year:
331State Code:

NULLQuantity Type:

NULLType of Container:
1Number of Containers:

PQuantity Unit:

48.000000Quantity Waste:

0.02400Quantity Tons:

H141Method Code:
2Line Number:
011011262FLEManifest Number:
2017-07-08Shipment Date:

CAR000266254Generator EPA ID:
011011262FLE20170703_D_1EM Manifest ID:
2018Year:
331State Code:

NULLQuantity Type:

NULLType of Container:
1Number of Containers:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 519
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

1.000000Quantity Waste:

0.00050Quantity Tons:

H141Method Code:
3Line Number:
012238511FLEManifest Number:
2018-07-19Shipment Date:

CAR000266254Generator EPA ID:
76369EM Manifest ID:
2018Year:

D001Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

5.000000Quantity Waste:

0.00250Quantity Tons:

H141Method Code:
2Line Number:
012238511FLEManifest Number:
2018-07-19Shipment Date:

CAR000266254Generator EPA ID:
76369EM Manifest ID:
2018Year:

D035Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

5.000000Quantity Waste:

0.00250Quantity Tons:

H141Method Code:
1Line Number:
012238511FLEManifest Number:
2018-07-19Shipment Date:

CAR000266254Generator EPA ID:
76369EM Manifest ID:
2018Year:

D001Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

5.000000Quantity Waste:

0.00250Quantity Tons:

H141Method Code:
1Line Number:
012238511FLEManifest Number:
2018-07-19Shipment Date:

CAR000266254Generator EPA ID:
76369EM Manifest ID:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 520
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation

1.000000Quantity Waste:

0.00050Quantity Tons:

H141Method Code:
3Line Number:
012238511FLEManifest Number:
2018-07-19Shipment Date:

CAR000266254Generator EPA ID:
76369EM Manifest ID:
2018Year:
331State Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

5.000000Quantity Waste:

0.00250Quantity Tons:

H141Method Code:
2Line Number:
012238511FLEManifest Number:
2018-07-19Shipment Date:

CAR000266254Generator EPA ID:
76369EM Manifest ID:
2018Year:
331State Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

5.000000Quantity Waste:

0.00250Quantity Tons:

H141Method Code:
1Line Number:
012238511FLEManifest Number:
2018-07-19Shipment Date:

CAR000266254Generator EPA ID:
76369EM Manifest ID:
2018Year:

State:

D002Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

2.000000Quantity Waste:

0.00100Quantity Tons:

H141Method Code:
4Line Number:
012238511FLEManifest Number:
2018-07-19Shipment Date:

CAR000266254Generator EPA ID:
76369EM Manifest ID:
2018Year:

P075Federal Code:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 521
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
6/24/2017Receipt Date:
5/24/2017Shipment Date:
5/24/2017Shipment Date:
011007494FLE20170524_D_1EM Manifest ID:
2018Year:
331State Code:

PoundsQuantity Type:

Fiber or plastic boxes, cartons, casesType of Container:
1Number of Containers:

PQuantity Unit:

98.000000Quantity Waste:

0.04900Quantity Tons:

H141Method Code:
6Line Number:
012238511FLEManifest Number:
2018-07-19Shipment Date:

CAR000266254Generator EPA ID:
76369EM Manifest ID:
2018Year:
141State Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

3.000000Quantity Waste:

0.00150Quantity Tons:

H141Method Code:
5Line Number:
012238511FLEManifest Number:
2018-07-19Shipment Date:

CAR000266254Generator EPA ID:
76369EM Manifest ID:
2018Year:
122State Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

2.000000Quantity Waste:

0.00100Quantity Tons:

H141Method Code:
4Line Number:
012238511FLEManifest Number:
2018-07-19Shipment Date:

CAR000266254Generator EPA ID:
76369EM Manifest ID:
2018Year:
331State Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 522
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
NULLType of Container:
1Number of Containers:

PQuantity Unit:

42.000000Quantity Waste:

0.02100Quantity Tons:

H141Method Code:
2Line Number:
011007494FLEManifest Number:
2017-05-24Shipment Date:

CAR000266254Generator EPA ID:
011007494FLE20170524_D_1EM Manifest ID:
2018Year:
331State Code:

NULLQuantity Type:

NULLType of Container:
1Number of Containers:

PQuantity Unit:

11.000000Quantity Waste:

0.00550Quantity Tons:

H040Method Code:
1Line Number:
011007494FLEManifest Number:
2017-05-24Shipment Date:

CAR000266254Generator EPA ID:
011007494FLE20170524_D_1EM Manifest ID:
2018Year:

State:

Not reportedQuantity Unit:

Not reportedWaste Quantity:

Not reportedQuantity Tons:
- Not reportedMeth Code:

Not reportedRCRA Code:
- Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:

Not reportedTSDF Telephone:

Not reportedTSDF City,State,Zip:

Not reportedTSDF Address 2:

Not reportedTSDF Address 1:

CLEAN HARBORS EL DORADO LLCTSDF Name:

ARD069748192TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Not reportedTransporter Name 2:

ALR000007237Transporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Not reportedTransporter Name:

MAD039322250Transporter 1 EPA ID:

Not reportedContact Email:

Not reportedContact Telephone:

Not reportedContact:

Not reportedTelephone:

Not reportedCity,State,Zip:

Not reportedAddress 2:

Not reportedAddress:

TARGET 1224Name:

CAR000266254Generator EPA ID:
011007494FLEManifest Number:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 523
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
CAR000266254Generator EPA ID:
265ed529-a753-4eb3-af72-de688bb4dab7EM Manifest ID:
2018Year:

D001Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

4.000000Quantity Waste:

0.00200Quantity Tons:

H141Method Code:
1Line Number:
012691535FLEManifest Number:
2018-11-07Shipment Date:

CAR000266254Generator EPA ID:
265ed529-a753-4eb3-af72-de688bb4dab7EM Manifest ID:
2018Year:

Federal:

Not reportedQuantity Unit:

Not reportedWaste Quantity:

Not reportedQuantity Tons:
- Not reportedMeth Code:

Not reportedRCRA Code:
- Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:
800-483-3718TSDF Telephone:

San Jose 95133TSDF City,State,Zip:

Not reportedTSDF Address 2:
1021 Berryessa RoadTSDF Address 1:

Clean Harbors San Jose LLCTSDF Name:

CAD059494310TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Not reportedTransporter Name 2:

MAD039322250Transporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Not reportedTransporter Name:

MAD039322250Transporter 1 EPA ID:

Not reportedContact Email:
669-230-8080Contact Telephone:

Reverse Logistics Team MemberContact:
800-483-3718Telephone:

CUPERTINO 95014City,State,Zip:

Not reportedAddress 2:
19499 STEVENS CREEK BLVDAddress:

TARGET 3224Name:

CAR000266254Generator EPA ID:
012691535FLEManifest Number:
11/9/2018Receipt Date:
11/7/2018Shipment Date:
11/7/2018Shipment Date:
265ed529-a753-4eb3-af72-de688bb4dab7EM Manifest ID:
2018Year:
331State Code:

NULLQuantity Type:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 524
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
122State Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

6.000000Quantity Waste:

0.00300Quantity Tons:

H141Method Code:
2Line Number:
012691535FLEManifest Number:
2018-11-07Shipment Date:

CAR000266254Generator EPA ID:
265ed529-a753-4eb3-af72-de688bb4dab7EM Manifest ID:
2018Year:
331State Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

4.000000Quantity Waste:

0.00200Quantity Tons:

H141Method Code:
1Line Number:
012691535FLEManifest Number:
2018-11-07Shipment Date:

CAR000266254Generator EPA ID:
265ed529-a753-4eb3-af72-de688bb4dab7EM Manifest ID:
2018Year:

State:

D002Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

6.000000Quantity Waste:

0.00300Quantity Tons:

H141Method Code:
2Line Number:
012691535FLEManifest Number:
2018-11-07Shipment Date:

CAR000266254Generator EPA ID:
265ed529-a753-4eb3-af72-de688bb4dab7EM Manifest ID:
2018Year:

D035Federal Code:

PoundsQuantity Type:

Fiberboard or plastic drums, barrels, kegsType of Container:
1Number of Containers:

PQuantity Unit:

4.000000Quantity Waste:

0.00200Quantity Tons:

H141Method Code:
1Line Number:
012691535FLEManifest Number:
2018-11-07Shipment Date:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 525
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
1Line Number:
012654999FLEManifest Number:
2018-10-10Shipment Date:

CAR000266254Generator EPA ID:
185196EM Manifest ID:
2018Year:

Federal:

Not reportedQuantity Unit:

Not reportedWaste Quantity:

Not reportedQuantity Tons:
- Not reportedMeth Code:

Not reportedRCRA Code:
- Not reportedWaste Code Description:

Not reportedTSDFA EPA ID:
800-483-3718TSDF Telephone:

San Jose 95133TSDF City,State,Zip:

Not reportedTSDF Address 2:
1021 Berryessa RoadTSDF Address 1:

Clean Harbors San Jose LLCTSDF Name:

CAD059494310TSDF EPA ID:

Not reportedTransporter 2 Emergency Number:

Not reportedTransporter Name 2:

MAD039322250Transporter 2 EPA ID:

Not reportedTransporter 1 Emergency Number:

Not reportedTransporter Name:

MAD039322250Transporter 1 EPA ID:

Not reportedContact Email:
669-230-8080Contact Telephone:

Reverse Logistics Team MemberContact:
800-483-3718Telephone:

CUPERTINO 95014City,State,Zip:

Not reportedAddress 2:
19499 STEVENS CREEK BLVDAddress:

TARGET 3224Name:

CAR000266254Generator EPA ID:
012654999FLEManifest Number:
10/15/2018Receipt Date:
10/10/2018Shipment Date:
10/10/2018Shipment Date:
185196EM Manifest ID:
2018Year:
331State Code:

PoundsQuantity Type:

Fiber or plastic boxes, cartons, casesType of Container:
1Number of Containers:

PQuantity Unit:
143.000000Quantity Waste:

0.07150Quantity Tons:

H141Method Code:
3Line Number:
012691535FLEManifest Number:
2018-11-07Shipment Date:

CAR000266254Generator EPA ID:
265ed529-a753-4eb3-af72-de688bb4dab7EM Manifest ID:
2018Year:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 526
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
331State Code:

PoundsQuantity Type:

Fiber or plastic boxes, cartons, casesType of Container:
1Number of Containers:

PQuantity Unit:
119.000000Quantity Waste:

0.05950Quantity Tons:

H141Method Code:
2Line Number:
012654999FLEManifest Number:
2018-10-10Shipment Date:

CAR000266254Generator EPA ID:
185196EM Manifest ID:
2018Year:
331State Code:

PoundsQuantity Type:

Fiber or plastic boxes, cartons, casesType of Container:
1Number of Containers:

PQuantity Unit:

72.000000Quantity Waste:

0.03600Quantity Tons:

H141Method Code:
1Line Number:
012654999FLEManifest Number:
2018-10-10Shipment Date:

CAR000266254Generator EPA ID:
185196EM Manifest ID:
2018Year:

State:

D035Federal Code:

PoundsQuantity Type:

Fiber or plastic boxes, cartons, casesType of Container:
1Number of Containers:

PQuantity Unit:

72.000000Quantity Waste:

0.03600Quantity Tons:

H141Method Code:
1Line Number:
012654999FLEManifest Number:
2018-10-10Shipment Date:

CAR000266254Generator EPA ID:
185196EM Manifest ID:
2018Year:

D001Federal Code:

PoundsQuantity Type:

Fiber or plastic boxes, cartons, casesType of Container:
1Number of Containers:

PQuantity Unit:

72.000000Quantity Waste:

0.03600Quantity Tons:

H141Method Code:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 527
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
20171214Receipt Date:
8/7/2018 18:30:34Creation Date:
20171207Shipment Date:

Not reportedAdditional Code 5:

Not reportedAdditional Code 4:

Not reportedAdditional Code 3:

Not reportedAdditional Code 2:

Not reportedAdditional Code 1:

PQuantity Unit:
4Waste Quantity:

0.002Quantity Tons:

Treatment/Reovery (H010-H129) Or (H131-H135)
H141 - Storage, Bulking, And/Or Transfer Off Site--NoMeth Code:

P075RCRA Code:
331 - Off-specification, aged, or surplus organicsWaste Code Description:

Not reportedTSDF Alt Name:

Not reportedTSDF Alt EPA ID:

CLEAN HARBORS SAN JOSE LLCTrans Name:

CAD059494310TSDF EPA ID:

Not reportedTrans 2 Name:

Not reportedTrans 2 EPA ID:

CLEAN HARBORS ENVIRONMENTAL SERVICES INCTrans Name:

MAD039322250Trans EPA ID:
011593312FLEManifest ID:
20171229Receipt Date:
8/7/2018 18:30:26Creation Date:
20171220Shipment Date:

Not reportedAdditional Code 5:

Not reportedAdditional Code 4:

Not reportedAdditional Code 3:

Not reportedAdditional Code 2:

Not reportedAdditional Code 1:

PQuantity Unit:
35Waste Quantity:

0.0175Quantity Tons:

Treatment/Reovery (H010-H129) Or (H131-H135)
H141 - Storage, Bulking, And/Or Transfer Off Site--NoMeth Code:

Not reportedRCRA Code:
331 - Off-specification, aged, or surplus organicsWaste Code Description:

Not reportedTSDF Alt Name:

Not reportedTSDF Alt EPA ID:

CLEAN HARBORS SAN JOSE LLCTrans Name:

CAD059494310TSDF EPA ID:

Not reportedTrans 2 Name:

Not reportedTrans 2 EPA ID:

CLEAN HARBORS ENVIRONMENTAL SERVICES INCTrans Name:

MAD039322250Trans EPA ID:
011593312FLEManifest ID:
20171229Receipt Date:
8/7/2018 18:30:26Creation Date:
20171220Shipment Date:

CAR000266254Gen EPA ID:
2017Year:

Additional Information:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 528
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
CLEAN HARBORS SAN JOSE LLCTrans Name:

CAD059494310TSDF EPA ID:

Not reportedTrans 2 Name:

Not reportedTrans 2 EPA ID:

CLEAN HARBORS ENVIRONMENTAL SERVICES INCTrans Name:

MAD039322250Trans EPA ID:
011564751FLEManifest ID:
20171128Receipt Date:
6/20/2018 18:32:00Creation Date:
20171121Shipment Date:

Not reportedAdditional Code 5:

Not reportedAdditional Code 4:

Not reportedAdditional Code 3:

Not reportedAdditional Code 2:

Not reportedAdditional Code 1:

PQuantity Unit:
9Waste Quantity:

0.0045Quantity Tons:

Treatment/Reovery (H010-H129) Or (H131-H135)
H141 - Storage, Bulking, And/Or Transfer Off Site--NoMeth Code:

D002RCRA Code:
122 - Alkaline solution without metals (pH > 12.5Waste Code Description:

Not reportedTSDF Alt Name:

Not reportedTSDF Alt EPA ID:

CLEAN HARBORS SAN JOSE LLCTrans Name:

CAD059494310TSDF EPA ID:

Not reportedTrans 2 Name:

Not reportedTrans 2 EPA ID:

CLEAN HARBORS ENVIRONMENTAL SERVICES INCTrans Name:

MAD039322250Trans EPA ID:
011564751FLEManifest ID:
20171128Receipt Date:
6/20/2018 18:32:00Creation Date:
20171121Shipment Date:

Not reportedAdditional Code 5:

Not reportedAdditional Code 4:

Not reportedAdditional Code 3:

Not reportedAdditional Code 2:

Not reportedAdditional Code 1:

PQuantity Unit:
107Waste Quantity:

0.0535Quantity Tons:

Treatment/Reovery (H010-H129) Or (H131-H135)
H141 - Storage, Bulking, And/Or Transfer Off Site--NoMeth Code:

Not reportedRCRA Code:
331 - Off-specification, aged, or surplus organicsWaste Code Description:

Not reportedTSDF Alt Name:

Not reportedTSDF Alt EPA ID:

CLEAN HARBORS SAN JOSE LLCTrans Name:

CAD059494310TSDF EPA ID:

Not reportedTrans 2 Name:

Not reportedTrans 2 EPA ID:

CLEAN HARBORS ENVIRONMENTAL SERVICES INCTrans Name:

MAD039322250Trans EPA ID:
011567652FLEManifest ID:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 529
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation

0.0005Quantity Tons:

Treatment/Reovery (H010-H129) Or (H131-H135)
H141 - Storage, Bulking, And/Or Transfer Off Site--NoMeth Code:

P075RCRA Code:
331 - Off-specification, aged, or surplus organicsWaste Code Description:

Not reportedTSDF Alt Name:

Not reportedTSDF Alt EPA ID:

CLEAN HARBORS SAN JOSE LLCTrans Name:

CAD059494310TSDF EPA ID:

Not reportedTrans 2 Name:

Not reportedTrans 2 EPA ID:

CLEAN HARBORS ENVIRONMENTAL SERVICES INCTrans Name:

MAD039322250Trans EPA ID:
011564751FLEManifest ID:
20171128Receipt Date:
6/20/2018 18:32:00Creation Date:
20171121Shipment Date:

Not reportedAdditional Code 5:

Not reportedAdditional Code 4:

Not reportedAdditional Code 3:

Not reportedAdditional Code 2:

Not reportedAdditional Code 1:

PQuantity Unit:
80Waste Quantity:

0.04Quantity Tons:

Treatment/Reovery (H010-H129) Or (H131-H135)
H141 - Storage, Bulking, And/Or Transfer Off Site--NoMeth Code:

Not reportedRCRA Code:
331 - Off-specification, aged, or surplus organicsWaste Code Description:

Not reportedTSDF Alt Name:

Not reportedTSDF Alt EPA ID:

CLEAN HARBORS SAN JOSE LLCTrans Name:

CAD059494310TSDF EPA ID:

Not reportedTrans 2 Name:

Not reportedTrans 2 EPA ID:

CLEAN HARBORS ENVIRONMENTAL SERVICES INCTrans Name:

MAD039322250Trans EPA ID:
011564751FLEManifest ID:
20171128Receipt Date:
6/20/2018 18:32:00Creation Date:
20171121Shipment Date:

Not reportedAdditional Code 5:

Not reportedAdditional Code 4:

Not reportedAdditional Code 3:

Not reportedAdditional Code 2:

D002Additional Code 1:

PQuantity Unit:
3Waste Quantity:

0.0015Quantity Tons:

Treatment/Reovery (H010-H129) Or (H131-H135)
H141 - Storage, Bulking, And/Or Transfer Off Site--NoMeth Code:

D008RCRA Code:
792 - Not reportedWaste Code Description:

Not reportedTSDF Alt Name:

Not reportedTSDF Alt EPA ID:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 530
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Not reportedAdditional Code 5:

Not reportedAdditional Code 4:

Not reportedAdditional Code 3:

Not reportedAdditional Code 2:

Not reportedAdditional Code 1:

PQuantity Unit:
68Waste Quantity:

0.034Quantity Tons:

Treatment/Reovery (H010-H129) Or (H131-H135)
H141 - Storage, Bulking, And/Or Transfer Off Site--NoMeth Code:

Not reportedRCRA Code:
331 - Off-specification, aged, or surplus organicsWaste Code Description:

Not reportedTSDF Alt Name:

Not reportedTSDF Alt EPA ID:

CLEAN HARBORS SAN JOSE LLCTrans Name:

CAD059494310TSDF EPA ID:

Not reportedTrans 2 Name:

Not reportedTrans 2 EPA ID:

CLEAN HARBORS ENVIRONMENTAL SERVICES INCTrans Name:

MAD039322250Trans EPA ID:
011259524FLEManifest ID:
20171031Receipt Date:
6/20/2018 18:31:41Creation Date:
20171025Shipment Date:

Not reportedAdditional Code 5:

Not reportedAdditional Code 4:

Not reportedAdditional Code 3:

Not reportedAdditional Code 2:

Not reportedAdditional Code 1:

PQuantity Unit:
57Waste Quantity:

0.0285Quantity Tons:

Treatment/Reovery (H010-H129) Or (H131-H135)
H141 - Storage, Bulking, And/Or Transfer Off Site--NoMeth Code:

Not reportedRCRA Code:
331 - Off-specification, aged, or surplus organicsWaste Code Description:

Not reportedTSDF Alt Name:

Not reportedTSDF Alt EPA ID:

CLEAN HARBORS SAN JOSE LLCTrans Name:

CAD059494310TSDF EPA ID:

Not reportedTrans 2 Name:

Not reportedTrans 2 EPA ID:

CLEAN HARBORS ENVIRONMENTAL SERVICES INCTrans Name:

MAD039322250Trans EPA ID:
011259427FLEManifest ID:
20171110Receipt Date:
6/13/2018 18:31:14Creation Date:
20171107Shipment Date:

Not reportedAdditional Code 5:

Not reportedAdditional Code 4:

Not reportedAdditional Code 3:

Not reportedAdditional Code 2:

Not reportedAdditional Code 1:

PQuantity Unit:
1Waste Quantity:

TARGET STORE T3224 (Continued) S121021002
TC07984167.2r Page 531
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Not reportedAdditional Code 5:

Not reportedAdditional Code 4:

Not reportedAdditional Code 3:

Not reportedAdditional Code 2:

Not reportedAdditional Code 1:

PQuantity Unit:
71Waste Quantity:

0.0355Quantity Tons:

Treatment/Reovery (H010-H129) Or (H131-H135)
H141 - Storage, Bulking, And/Or Transfer Off Site--NoMeth Code:

Not reportedRCRA Code:
331 - Off-specification, aged, or surplus organicsWaste Code Description:

Not reportedTSDF Alt Name:

Not reportedTSDF Alt EPA ID:

CLEAN HARBORS SAN JOSE LLCTrans Name:

CAD059494310TSDF EPA ID:

Not reportedTrans 2 Name:

Not reportedTrans 2 EPA ID:

CLEAN HARBORS ENVIRONMENTAL SERVICES INCTrans Name:

MAD039322250Trans EPA ID:
008844573FLEManifest ID:
20171012Receipt Date:
6/20/2018 18:31:51Creation Date:
20171009Shipment Date:

TARGET STORE T3224 (Continued) S121021002
Garfield Beach Cvs, L.L.COperator Name:

PrivateOwner Type:

Garfield Beach Cvs, L.L.COwner Name:

WOONSOCKET, RI 02895Mailing City,State,Zip:

ONE CVS DRIVEMailing Address:

Not reportedState District:

Not reportedState District Owner:

Not reportedActive Site Indicator:

Not reportedAccessibility:

Not reportedBiennial Report Cycle:

Not reportedNon-Notifier:

Not a generator, verifiedFederal Waste Generator Description:

PrivateLand Type:
09EPA Region:

DIRECTOR, CORPORATE ENVIRONMENTALContact Title:

[email protected] Email:

Not reportedContact Fax:
401-770-7132Contact Telephone:

WOONSOCKET, RI 02895Contact City,State,Zip:

ONE CVS DRIVE MAIL CODE 2340Contact Address:

NICOLE WILKINSONContact Name:

CAR000269852EPA ID:

CUPERTINO, CA 95014Handler City,State,Zip:

Stevens Creek Blvd Ste BHandler Address:

Cvs Pharmacy #17687Handler Name:
20210729Date Form Received by Agency:

RCRA Listings:
1105 ft. Site 4 of 5 in cluster N

0.209 mi.

Relative:

Lower
Actual:
185 ft.

1/8-1/4 CUPERTINO, CA 95014
East E MANIFEST19499 STEVENS CREEK BLVD CAR000269852
N100 RCRA NonGen / NLRCVS (SIS) 1023675049
TC07984167.2r Page 532
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
D010Waste Code:

MercuryWaste Description:

D009Waste Code:

ChromiumWaste Description:

D007Waste Code:

Corrosive WasteWaste Description:

D002Waste Code:

Ignitable WasteWaste Description:

D001Waste Code:

Hazardous Waste Summary:

NoSub-Part P Indicator:

NoManifest Broker:

NoRecycler Activity Without Storage:

NoExporter of Spent Lead Acid Batteries:

NoImporter of Spent Lead Acid Batteries:

NoRecognized Trader-Exporter:

NoRecognized Trader-Importer:
20210730Handler Date of Last Change:

Not reportedFinancial Assurance Required:

NoSignificant Non-Complier With a Compliance Schedule Universe:

NoAddressed Significant Non-Complier Universe:

NoUnaddressed Significant Non-Complier Universe:

NoSignificant Non-Complier Universe:

N/AGroundwater Controls Indicator:

N/AHuman Exposure Controls Indicator:

NoInstitutional Control Indicator:

NoEnvironmental Control Indicator:

No NCAPS rankingCorrective Action Priority Ranking:

NoNon-TSDFs Where RCRA CA has Been Imposed Universe:

NoSubject to Corrective Action Universe:

No202 GPRA Corrective Action Baseline:

Not on the Baseline2018 GPRA Renewals Baseline:

Not on the Baseline2018 GPRA Permit Baseline:

Not reportedSub-Part K Indicator:

NHazardous Secondary Material Indicator:

Not reportedFederal Facility Indicator:
---Active Site State-Reg Handler:

NoFederal Universal Waste:

NoUniversal Waste Destination Facility:

NoUniversal Waste Indicator:

NoOff-Site Waste Receipt:

NoUnderground Injection Control:

NoSmelting Melting and Refining Furnace Exemption:

NoSmall Quantity On-Site Burner Exemption:

NoRecycler Activity with Storage:

NoTransfer Facility Activity:

NoTransporter Activity:

NoMixed Waste Generator:

NoImporter Activity:

NoShort-Term Generator Activity:

PrivateOperator Type:

CVS (SIS) (Continued) 1023675049
TC07984167.2r Page 533
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Not reportedOwner/Operator Telephone Ext:
401-765-1500Owner/Operator Telephone:

WOONSOCKET, RI 02895Owner/Operator City,State,Zip:

ONE CVS DRIVEOwner/Operator Address:

Not reportedDate Ended Current:
20151002Date Became Current:

PrivateLegal Status:

GARFIELD BEACH CVS, L.L.COwner/Operator Name:

OwnerOwner/Operator Indicator:

Not reportedOwner/Operator Email:

Not reportedOwner/Operator Fax:

Not reportedOwner/Operator Telephone Ext:

Not reportedOwner/Operator Telephone:

Not reportedOwner/Operator City,State,Zip:

Not reportedOwner/Operator Address:

Not reportedDate Ended Current:
20151002Date Became Current:

PrivateLegal Status:

GARFIELD BEACH CVS, L.L.COwner/Operator Name:

OperatorOwner/Operator Indicator:

Handler - Owner Operator:

Selenium Sulfide (Or) Selenium Sulfide Ses2 (R,T)Waste Description:

U205Waste Code:
1,3-Benzenediol (Or) ResorcinolWaste Description:

U201Waste Code:

PhenolWaste Description:

U188Waste Code:
5alpha, 6beta)- (Or) Lindane
Cyclohexane, 1,2,3,4,5,6-Hexachloro-, (1alpha, 2alpha, 3beta, 4alpha,Waste Description:

U129Waste Code:

FormaldehydeWaste Description:

U122Waste Code:

Chloroform (Or) Methane, Trichloro-Waste Description:

U044Waste Code:

Acetaldehyde, Trichloro- (Or) ChloralWaste Description:

U034Waste Code:

Salts, When Present At Concentrations Greater Than 0.3% When Present At Concentrations Greater Than 0.3% (Or) Warfarin, & 2h-1-Benzopyran-2-One, 4-Hydroxy-3-(3-Oxo-1-Phenylbutyl)-, & Salts,Waste Description:

P001Waste Code:

M-CresolWaste Description:

D024Waste Code:

SilverWaste Description:

D011Waste Code:

SeleniumWaste Description:

CVS (SIS) (Continued) 1023675049
TC07984167.2r Page 534
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
List of NAICS Codes and Descriptions:

Not reportedElectronic Manifest Broker:

Not reportedNon Storage Recycler Activity:

NoCurrent Record:

NoSpent Lead Acid Battery Exporter:

NoSpent Lead Acid Battery Importer:

NoRecognized Trader Exporter:

NoRecognized Trader Importer:

NoLarge Quantity Handler of Universal Waste:

Not reportedState District Owner:

Quantity Generator
Very Small Quantity Generator (formerly Conditionally-Exempt SmallFederal Waste Generator Description:

CVS PHARMACY #17687Handler Name:
20170117Receive Date:

NoElectronic Manifest Broker:

NoNon Storage Recycler Activity:

YesCurrent Record:

NoSpent Lead Acid Battery Exporter:

NoSpent Lead Acid Battery Importer:

NoRecognized Trader Exporter:

NoRecognized Trader Importer:

NoLarge Quantity Handler of Universal Waste:

Not reportedState District Owner:

Not a generator, verifiedFederal Waste Generator Description:

CVS PHARMACY #17687Handler Name:
20210729Receive Date:

Historic Generators:

Not reportedOwner/Operator Email:

Not reportedOwner/Operator Fax:

Not reportedOwner/Operator Telephone Ext:

Not reportedOwner/Operator Telephone:

Not reportedOwner/Operator City,State,Zip:

Not reportedOwner/Operator Address:

Not reportedDate Ended Current:
20151002Date Became Current:

PrivateLegal Status:

GARFIELD BEACH CVS, L.L.COwner/Operator Name:

OperatorOwner/Operator Indicator:

Not reportedOwner/Operator Email:

Not reportedOwner/Operator Fax:

Not reportedOwner/Operator Telephone Ext:
401-765-1500Owner/Operator Telephone:

WOONSOCKET, RI 02895Owner/Operator City,State,Zip:

ONE CVS DRIVEOwner/Operator Address:

Not reportedDate Ended Current:
20151002Date Became Current:

PrivateLegal Status:

GARFIELD BEACH CVS, L.L.COwner/Operator Name:

OwnerOwner/Operator Indicator:

Not reportedOwner/Operator Email:

Not reportedOwner/Operator Fax:

CVS (SIS) (Continued) 1023675049
TC07984167.2r Page 535
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
SignedManifest Status:
20190319Received Date:
20190305Shipped Date:
20190410Last Updated Date:
012417057FLEManifest Tracking Number:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

INDesignated Facility Location State:
46241Designated Facility Location Zip:

IndianapolisDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:
2670 Executive Drive Suite ADesignated Facility Location Street 1:

Not reportedDesignated Facility Location Street Number:

INDesignated Facility Mail State:
46241Designated Facility Mail Zip:

IndianapolisDesignated Facility Mail City:
2670 Executive Drive Suite ADesignated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:

Not reportedDesignated Facility Mail Street Number:

Stericycle IncorporatedDesignated Facility Name:

INR000110197Designated Facility EPA ID:

Not reportedGenerator Contact Company Name:

CAGenerator Mail State:
95014Generator Mail Zip:

CupertinoGenerator Mail City:

Not reportedGenerator Mail Street 2:
19499 Stevens Creek BlvdGenerator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
19499 STEVENS CREEK BLVDGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Cvs (Sis)Generator Name:

CAR000269852Generator EPA ID:

ServiceOrigin Type:

DataImage5CopySubmission Type:

SignedManifest Status:
20190410Received Date:
20190305Shipped Date:
20190501Last Updated Date:
012417056FLEManifest Tracking Number:

E MANIFEST:

No Evaluations FoundEvaluations:

Evaluation Action Summary:

No Violations FoundViolations:

Facility Has Received Notices of Violations:

Pharmacies And Drug StoresNAICS Description:
446110NAICS Code:

CVS (SIS) (Continued) 1023675049
TC07984167.2r Page 536
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Not reportedGenerator Contact Company Name:

CAGenerator Mail State:
95014-7106Generator Mail Zip:

CupertinoGenerator Mail City:

Not reportedGenerator Mail Street 2:
19499 Stevens Creek BlvdGenerator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014-7106Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
19499 STEVENS CREEK BLVDGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Cvs (Sis)Generator Name:

CAR000269852Generator EPA ID:

ServiceOrigin Type:

DataImage5CopySubmission Type:

SignedManifest Status:
20190911Received Date:
20190814Shipped Date:
20200117Last Updated Date:
012482990FLEManifest Tracking Number:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

CADesignated Facility Location State:
90301Designated Facility Location Zip:

InglewoodDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:
425 Isis Ave.Designated Facility Location Street 1:

Not reportedDesignated Facility Location Street Number:

CADesignated Facility Mail State:
90301Designated Facility Mail Zip:

InglewoodDesignated Facility Mail City:
425 Isis Ave.Designated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:

Not reportedDesignated Facility Mail Street Number:

Rho Chem LlcDesignated Facility Name:

CAD008364432Designated Facility EPA ID:

Not reportedGenerator Contact Company Name:

CAGenerator Mail State:
95014Generator Mail Zip:

CupertinoGenerator Mail City:

Not reportedGenerator Mail Street 2:
19499 Stevens Creek BlvdGenerator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
19499 STEVENS CREEK BLVDGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Cvs (Sis)Generator Name:

CAR000269852Generator EPA ID:

ServiceOrigin Type:

DataImage5CopySubmission Type:

CVS (SIS) (Continued) 1023675049
TC07984167.2r Page 537
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Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

CADesignated Facility Location State:
95742Designated Facility Location Zip:

Rancho CordovaDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:
11855 White Rock RoadDesignated Facility Location Street 1:

Not reportedDesignated Facility Location Street Number:

CADesignated Facility Mail State:
95742Designated Facility Mail Zip:

Rancho CordovaDesignated Facility Mail City:
11855 White Rock RoadDesignated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:

Not reportedDesignated Facility Mail Street Number:

Gem Rancho Cordova LlcDesignated Facility Name:

CAD980884183Designated Facility EPA ID:

Not reportedGenerator Contact Company Name:

CAGenerator Mail State:
95014-7106Generator Mail Zip:

CupertinoGenerator Mail City:

Not reportedGenerator Mail Street 2:
19499 Stevens Creek BlvdGenerator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014-7106Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
19499 STEVENS CREEK BLVDGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Cvs (Sis)Generator Name:

CAR000269852Generator EPA ID:

ServiceOrigin Type:

DataImage5CopySubmission Type:

SignedManifest Status:
20190910Received Date:
20190814Shipped Date:
20200423Last Updated Date:
012482991FLEManifest Tracking Number:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

INDesignated Facility Location State:
46241Designated Facility Location Zip:

IndianapolisDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:
2770 Fortune Circle EastDesignated Facility Location Street 1:

Not reportedDesignated Facility Location Street Number:

INDesignated Facility Mail State:
46241Designated Facility Mail Zip:

IndianapolisDesignated Facility Mail City:
2770 Fortune Circle EastDesignated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:

Not reportedDesignated Facility Mail Street Number:

Stericycle Environmental Solutions, Inc. IndianapolisDesignated Facility Name:

INR000110197Designated Facility EPA ID:

CVS (SIS) (Continued) 1023675049
TC07984167.2r Page 538
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Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
19499 Stevens Creek BlvdGenerator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014-7106Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
19499 STEVENS CREEK BLVDGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Cvs (Sis)Generator Name:

CAR000269852Generator EPA ID:

ServiceOrigin Type:

DataImage5CopySubmission Type:

SignedManifest Status:
20190605Received Date:
20190522Shipped Date:
20200106Last Updated Date:
013416290FLEManifest Tracking Number:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

INDesignated Facility Location State:
46241Designated Facility Location Zip:

IndianapolisDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:
2770 Fortune Circle EastDesignated Facility Location Street 1:

Not reportedDesignated Facility Location Street Number:

INDesignated Facility Mail State:
46241Designated Facility Mail Zip:

IndianapolisDesignated Facility Mail City:
2770 Fortune Circle EastDesignated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:

Not reportedDesignated Facility Mail Street Number:

Stericycle Environmental Solutions, Inc. IndianapolisDesignated Facility Name:

INR000110197Designated Facility EPA ID:

Not reportedGenerator Contact Company Name:

CAGenerator Mail State:
95014-7106Generator Mail Zip:

CupertinoGenerator Mail City:

Not reportedGenerator Mail Street 2:
19499 Stevens Creek BlvdGenerator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014-7106Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
19499 STEVENS CREEK BLVDGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Cvs (Sis)Generator Name:

CAR000269852Generator EPA ID:

ServiceOrigin Type:

DataImage5CopySubmission Type:

SignedManifest Status:
20190619Received Date:
20190522Shipped Date:
20200110Last Updated Date:
013416289FLEManifest Tracking Number:

CVS (SIS) (Continued) 1023675049
TC07984167.2r Page 539
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EPA ID NumberDatabase(s)SiteElevation
FernleyDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:
2095 Newlands Drive EastDesignated Facility Location Street 1:

Not reportedDesignated Facility Location Street Number:

NVDesignated Facility Mail State:
89408Designated Facility Mail Zip:

FernleyDesignated Facility Mail City:
2095 Newlands Drive EastDesignated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:

Not reportedDesignated Facility Mail Street Number:
21st Century Environmental Management Of Nevada, LlcDesignated Facility Name:

NVD980895338Designated Facility EPA ID:

Not reportedGenerator Contact Company Name:

CAGenerator Mail State:
95014-7106Generator Mail Zip:

CupertinoGenerator Mail City:

Not reportedGenerator Mail Street 2:
19499 Stevens Creek BlvdGenerator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014-7106Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
19499 STEVENS CREEK BLVDGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Cvs (Sis)Generator Name:

CAR000269852Generator EPA ID:

ServiceOrigin Type:

DataImage5CopySubmission Type:

SignedManifest Status:
20210303Received Date:
20210202Shipped Date:
20210315Last Updated Date:
015652233FLEManifest Tracking Number:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

CADesignated Facility Location State:
90301Designated Facility Location Zip:

InglewoodDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:
425 Isis Ave.Designated Facility Location Street 1:

Not reportedDesignated Facility Location Street Number:

CADesignated Facility Mail State:
90301Designated Facility Mail Zip:

InglewoodDesignated Facility Mail City:
425 Isis Ave.Designated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:

Not reportedDesignated Facility Mail Street Number:

Rho Chem LlcDesignated Facility Name:

CAD008364432Designated Facility EPA ID:

Not reportedGenerator Contact Company Name:

CAGenerator Mail State:
95014-7106Generator Mail Zip:

CupertinoGenerator Mail City:

Not reportedGenerator Mail Street 2:

CVS (SIS) (Continued) 1023675049
TC07984167.2r Page 540
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
19499 STEVENS CREEK BLVDGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Cvs (Sis)Generator Name:

CAR000269852Generator EPA ID:

ServiceOrigin Type:

DataImage5CopySubmission Type:

SignedManifest Status:
20181114Received Date:
20180917Shipped Date:
20190214Last Updated Date:
009159379FLEManifest Tracking Number:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

MIDesignated Facility Location State:
48214Designated Facility Location Zip:

DetroitDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:
421 Lycaste St.Designated Facility Location Street 1:

Not reportedDesignated Facility Location Street Number:

MIDesignated Facility Mail State:
48214Designated Facility Mail Zip:

DetroitDesignated Facility Mail City:
421 Lycaste St.Designated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:

Not reportedDesignated Facility Mail Street Number:

Petro Chem Processing Group Of Nortru LlcDesignated Facility Name:

MID980615298Designated Facility EPA ID:

Not reportedGenerator Contact Company Name:

CAGenerator Mail State:
95014-7106Generator Mail Zip:

CupertinoGenerator Mail City:

Not reportedGenerator Mail Street 2:
19499 Stevens Creek BlvdGenerator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014-7106Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
19499 STEVENS CREEK BLVDGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Cvs (Sis)Generator Name:

CAR000269852Generator EPA ID:

ServiceOrigin Type:

DataImage5CopySubmission Type:

SignedManifest Status:
20210305Received Date:
20210202Shipped Date:
20210308Last Updated Date:
015652234FLEManifest Tracking Number:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

NVDesignated Facility Location State:
89408Designated Facility Location Zip:

CVS (SIS) (Continued) 1023675049
TC07984167.2r Page 541
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
InglewoodDesignated Facility Mail City:
425 Isis Ave.Designated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:

Not reportedDesignated Facility Mail Street Number:

Rho Chem LlcDesignated Facility Name:

CAD008364432Designated Facility EPA ID:

Not reportedGenerator Contact Company Name:

RIGenerator Mail State:
02895-6146Generator Mail Zip:

WOONSOCKETGenerator Mail City:

Not reportedGenerator Mail Street 2:
1 CVS DRGenerator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
19499 STEVENS CREEK BLVDGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Cvs (Sis)Generator Name:

CAR000269852Generator EPA ID:

ServiceOrigin Type:

DataImage5CopySubmission Type:

SignedManifest Status:
20181019Received Date:
20180917Shipped Date:
20181024Last Updated Date:
009159380FLEManifest Tracking Number:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

INDesignated Facility Location State:
46241Designated Facility Location Zip:

IndianapolisDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:
2670 Executive Drive Suite ADesignated Facility Location Street 1:

Not reportedDesignated Facility Location Street Number:

INDesignated Facility Mail State:
46241Designated Facility Mail Zip:

IndianapolisDesignated Facility Mail City:
2670 Executive Drive Suite ADesignated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:

Not reportedDesignated Facility Mail Street Number:

Stericycle IncorporatedDesignated Facility Name:

INR000110197Designated Facility EPA ID:

Not reportedGenerator Contact Company Name:

CAGenerator Mail State:
95014Generator Mail Zip:

CupertinoGenerator Mail City:

Not reportedGenerator Mail Street 2:
19499 Stevens Creek BlvdGenerator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:

CVS (SIS) (Continued) 1023675049
TC07984167.2r Page 542
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Stericycle Specialty Waste Solutions IncTransporter Name:

MNS000110924Transporter EPA ID:
1Transporter Line Number:
014396573FLEManifest Tracking Number:

Transporter:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

MIDesignated Facility Location State:
48214Designated Facility Location Zip:

DetroitDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:
421 Lycaste St.Designated Facility Location Street 1:

Not reportedDesignated Facility Location Street Number:

MIDesignated Facility Mail State:
48214Designated Facility Mail Zip:

DetroitDesignated Facility Mail City:
421 Lycaste St.Designated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:

Not reportedDesignated Facility Mail Street Number:

Petro Chem Processing Group Of Nortru LlcDesignated Facility Name:

MID980615298Designated Facility EPA ID:

Not reportedGenerator Contact Company Name:

CAGenerator Mail State:
95014-7106Generator Mail Zip:

CupertinoGenerator Mail City:

Not reportedGenerator Mail Street 2:
19499 Stevens Creek BlvdGenerator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014-7106Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
19499 STEVENS CREEK BLVDGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Cvs (Sis)Generator Name:

CAR000269852Generator EPA ID:

ServiceOrigin Type:

DataImage5CopySubmission Type:

SignedManifest Status:
20200908Received Date:
20200730Shipped Date:
20200914Last Updated Date:
014396067FLEManifest Tracking Number:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

CADesignated Facility Location State:
90301Designated Facility Location Zip:

InglewoodDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:
425 Isis Ave.Designated Facility Location Street 1:

Not reportedDesignated Facility Location Street Number:

CADesignated Facility Mail State:
90301Designated Facility Mail Zip:

CVS (SIS) (Continued) 1023675049
TC07984167.2r Page 543
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
CFContainer Type Code:
1Number of Containers:

Not reportedNon-Hazardous Waste Description:
(Warfarin), 6.1, Pg Ii, Erg#151
Un3249, Waste Residue Last Contained, Medicine, Solid, Toxic, N.O.S.U.S. DOT Description:

UN3249U.S. DOT ID Number:

YU.S. DOT Hazardous Indicator:
2Waste Line Number:
014396573FLEManifest Tracking Number:

CA-311, CA-311State Waste Codes:
0Quantity Non Haz Tons:
0Quantity Non Haz Kg:

0.004Quantity Haz Tons:

3.6281202Quantity Haz Kg:

D007, D010Federal Waste Codes:

YEPA Waste Indicator:

Not reportedConsent Number:

Not reportedWaste Minimization Code Description:

Not reportedWaste Minimization Code:

Not reportedSource Code Description:

Not reportedSource Code:

Not reportedForm Code Description:

Not reportedForm Code:

Not reportedWaste Density Unit of Measure Description:

Not reportedWaste Density Unit of Measure Code:

Not reportedWaste Density:

NWaste Type Discrepancy Indicator:

NQuantity Discrepancy Indicator:

NWaste Residue Indicator:

STORAGE, BULKING AND/OR TRANSFER OFF SITEManagement Method Description:

H141Management Method Code:

3.6281202Non-Acute Waste Quantity, in Kilorgrams:
0Acute Waste Quantity, in Kilograms:

3.6281202Waste Quantity, in Kilograms:

0.004Non-Acute Waste Quantity, in Tons:
0Acute Waste Quantity, in Tons:

0.004Waste Quantity, in Tons:

PoundsQuantity Unit of Measure Description:

PQuantity Unit of Measure Code:
8Waste Quantity:

Fiber or plastic boxes, cartons, casesContainer Type Description:

CFContainer Type Code:
1Number of Containers:

Not reportedNon-Hazardous Waste Description:

Pg Ii, Erg#154
Un2811, Waste Toxic Solids, Organic, N.O.S. (Chromium, Selenium), 6.1,U.S. DOT Description:

UN2811U.S. DOT ID Number:

YU.S. DOT Hazardous Indicator:
1Waste Line Number:
014396573FLEManifest Tracking Number:

Waste Line:

Stericycle Specialty Waste Solutions IncTransporter Name:

MNS000110924Transporter EPA ID:
2Transporter Line Number:
014396573FLEManifest Tracking Number:

CVS (SIS) (Continued) 1023675049
TC07984167.2r Page 544
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
17 additional US EManifest: record(s) in the EDR Site Report.

Click this hyperlink while viewing on your computer to access CA-311, CA-311State Waste Codes:
0Quantity Non Haz Tons:
0Quantity Non Haz Kg:

0.0005Quantity Haz Tons:

0.45351502Quantity Haz Kg:

P001Federal Waste Codes:

YEPA Waste Indicator:

Not reportedConsent Number:

Not reportedWaste Minimization Code Description:

Not reportedWaste Minimization Code:

Not reportedSource Code Description:

Not reportedSource Code:

Not reportedForm Code Description:

Not reportedForm Code:

Not reportedWaste Density Unit of Measure Description:

Not reportedWaste Density Unit of Measure Code:

Not reportedWaste Density:

NWaste Type Discrepancy Indicator:

NQuantity Discrepancy Indicator:

NWaste Residue Indicator:

STORAGE, BULKING AND/OR TRANSFER OFF SITEManagement Method Description:

H141Management Method Code:
0Non-Acute Waste Quantity, in Kilorgrams:

0.45351502Acute Waste Quantity, in Kilograms:

0.45351502Waste Quantity, in Kilograms:
0Non-Acute Waste Quantity, in Tons:

0.0005Acute Waste Quantity, in Tons:

0.0005Waste Quantity, in Tons:

PoundsQuantity Unit of Measure Description:

PQuantity Unit of Measure Code:
1Waste Quantity:

Fiber or plastic boxes, cartons, casesContainer Type Description:

CVS (SIS) (Continued) 1023675049
FA0253448Facility ID:

PR0317735Record ID:
-122.019724Longitude:

37.323691Latitude:

DEH PERMIT-HAZ WASTE GENERATOR PROGRAMProgram Identifier:

GENERATES <100 KG/YR OR USED OIL ONLYProgram Description:
2202PE#:

Not reportedUDF Email:
4082437300Telephone:

SANTA CLARARegion:

CUPERTINO, CA 95014City,State,Zip:
10055 N PORTAL AV 100Address:

MICHAEL SCHUCK DDSName:

CUPA SANTA CLARA:
1112 ft. Site 1 of 4 in cluster O

0.211 mi.

Relative:

Higher
Actual:
200 ft.

1/8-1/4 CUPERTINO, CA 95014
WNW 10055 N PORTAL AV 100 N/A
O101 CUPA ListingsMICHAEL SCHUCK DDS S121472364
TC07984167.2r Page 545
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
FA0200573Facility ID:

PR0317990Record ID:
-122.019724Longitude:

37.323691Latitude:

DEH PERMIT-HAZ WASTE GENERATOR PROGRAMProgram Identifier:

GENERATES <100 KG/YR OR USED OIL ONLYProgram Description:
2202PE#:

Not reportedUDF Email:
4082527827Telephone:

SANTA CLARARegion:

CUPERTINO, CA 95014City,State,Zip:
10055 N PORTAL AV 100Address:

DONALD P ARALDI DDS INCName:

CUPA SANTA CLARA:
1112 ft. Site 2 of 4 in cluster O

0.211 mi.

Relative:

Higher
Actual:
200 ft.

1/8-1/4 CUPERTINO, CA 95014
WNW 10055 N PORTAL AV 100 N/A
O102 CUPA ListingsDONALD P ARALDI DDS INC S121468413
for transport shall be kept until receiving a signed copy from the transporter. The manifest signed at the time the waste was accepted three years from the date the waste was accepted by the initial Failure to keep a copy of each properly signed manifest for at leastViolation Description:

Chapter 12, Section(s) 66262.40(a)
22 CCR 12 66262.40(a) - California Code of Regulations, Title 22,Citation:
01-20-2017Violation Date:

THEODORE A FLOOR DDSSite Name:
75403Site ID:

CERS,Violation Source:

HWViolation Program:

Santa Clara County Environmental HealthViolation Division:
time of inspection.
currently inactive. Ms. DeLosReyes was given DTSC form 1358 at the Returned to compliance on 01/26/2017. EPA ID number CAL000099046 isViolation Notes:
hazardous waste.
disposing of, transporting or offering for transportation any Failure to obtain an Identification Number prior to treating, storing,Violation Description:
12, Section(s) 66262.12
22 CCR 12 66262.12 - California Code of Regulations, Title 22, ChapterCitation:
01-20-2017Violation Date:

THEODORE A FLOOR DDSSite Name:
75403Site ID:

Violations:

Hazardous Waste GeneratorCERS Description:
10343788CERS ID:
75403Site ID:

CUPERTINO, CA 95014City,State,Zip:
10055 N PORTAL AV 100Address:

THEODORE A FLOOR DDSName:

CERS HAZ WASTE:
1112 ft. Site 3 of 4 in cluster O

0.211 mi.

Relative:

Higher
Actual:
200 ft.

1/8-1/4 CUPERTINO, CA 95014
WNW CUPA Listings10055 N PORTAL AV 100 N/A
O103 CERS HAZ WASTETHEODORE A FLOOR DDS S112346990
TC07984167.2r Page 546
MAP FINDINGSMap ID
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EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Not reportedAffiliation State:

Not reportedAffiliation City:

Not reportedAffiliation Address:

Not reportedEntity Title:

THEODORE A FLOOR DDSEntity Name:

Parent CorporationAffiliation Type Desc:
(408) 918-3400,Affiliation Phone:
95112-2716Affiliation Zip:

Not reportedAffiliation Country:

CAAffiliation State:

San JoseAffiliation City:
1555 Berger Drive, Suite 300Affiliation Address:

Not reportedEntity Title:

Santa Clara County Environmental HealthEntity Name:

CUPA DistrictAffiliation Type Desc:
,Affiliation Phone:
95014Affiliation Zip:

Not reportedAffiliation Country:

CAAffiliation State:

CUPERTINOAffiliation City:
10055 N PORTAL AV #100Affiliation Address:

Not reportedEntity Title:

Mailing AddressEntity Name:

Facility Mailing AddressAffiliation Type Desc:

Affiliation:

CERS,Eval Source:

HWEval Program:

Santa Clara County Environmental HealthEval Division:
adequate, and emergency posting is up-to-date.
treatments. Fire extinguishers are annually serviced, spill kit is to clean impression trays. Tooth whitener is used completely during only steam autoclave for sterilizing and uses non-hazardous cleaners and ultrasonic bath uses non-hazardous enzymatic liquid. Facility uses waste management regulations. Surfaces are disinfected with cavicide non-rcra pharmaceuticals and lidocaine in accordance with medical picked up by Stericycle (receipts reviewed). Facility disposes on digital x-ray. Amalgam scrap, chair traps, and separator waste is disposes of material in closed, labeled containers. Facility uses only Facility generates waste corrosive tartar and stain remover andEval Notes:

Routine done by local agencyEval Type:

YesViolations Found:
01-20-2017Eval Date:

Compliance Evaluation InspectionEval General Type:

Evaluation:

CERS,Violation Source:

HWViolation Program:

Santa Clara County Environmental HealthViolation Division:

HMCD office for review.
receipts for disposal of this material for the past 3 years to the and stain remover were not available for inspection. Forward all Returned to compliance on 02/14/2017. Manifests for disposal of tartarViolation Notes:
designated facility which received the waste.

THEODORE A FLOOR DDS (Continued) S112346990
TC07984167.2r Page 547
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
FA0200574Facility ID:

PR0317985Record ID:
-122.019724Longitude:

37.323691Latitude:

DEH PERMIT-HAZ WASTE GENERATOR PROGRAMProgram Identifier:

GENERATES <100 KG/YR OR USED OIL ONLYProgram Description:
2202PE#:

Not reportedUDF Email:
4082554500Telephone:

SANTA CLARARegion:

CUPERTINO, CA 95014City,State,Zip:
10055 N PORTAL AV 100Address:

THEODORE A FLOOR DDSName:

CUPA SANTA CLARA:
,Affiliation Phone:

Not reportedAffiliation Zip:

Not reportedAffiliation Country:

THEODORE A FLOOR DDS (Continued) S112346990
FA0200572Facility ID:

PR0368176Record ID:
-122.019724Longitude:

37.323691Latitude:

DEH PERMIT-HAZ WASTE GENERATOR PROGRAMProgram Identifier:

GENERATES <100 KG/YR OR USED OIL ONLYProgram Description:
2202PE#:

Not reportedUDF Email:
4082574304Telephone:

SANTA CLARARegion:

CUPERTINO, CA 95014City,State,Zip:
10055 N PORTAL AV 130Address:

ROBERT F HARLEY DDSName:

CUPA SANTA CLARA:
1112 ft. Site 4 of 4 in cluster O

0.211 mi.

Relative:

Higher
Actual:
200 ft.

1/8-1/4 CUPERTINO, CA 95014
WNW 10055 N PORTAL AV 130 N/A
O104 CUPA ListingsROBERT F HARLEY DDS S105091199
PALOALTO, CA 94306Contact City,State,Zip:
2600 EL CAMINO REALContact Address:

STEVE MCCARTTContact Name:

CAC003247639EPA ID:

CUPERTINO, CA 95014-2509Handler City,State,Zip:
10123 N. Wolfe RdHandler Address:

Vallco Property Owner, LlcHandler Name:
20230817Date Form Received by Agency:

RCRA Listings:
1198 ft. Site 1 of 16 in cluster P

0.227 mi.

Relative:

Lower
Actual:
189 ft.

1/8-1/4 CUPERTINO, CA 95014
North 10123 N. WOLFE RD CAC003247639
P105 RCRA NonGen / NLRVALLCO PROPERTY OWNER, LLC 1028886831 TC07984167.2r Page 548
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
NoRecycler Activity Without Storage:

NoExporter of Spent Lead Acid Batteries:

NoImporter of Spent Lead Acid Batteries:

NoRecognized Trader-Exporter:

NoRecognized Trader-Importer:
20230817Handler Date of Last Change:

Not reportedFinancial Assurance Required:

NoSignificant Non-Complier With a Compliance Schedule Universe:

NoAddressed Significant Non-Complier Universe:

NoUnaddressed Significant Non-Complier Universe:

NoSignificant Non-Complier Universe:

N/AGroundwater Controls Indicator:

N/AHuman Exposure Controls Indicator:

NoInstitutional Control Indicator:

NoEnvironmental Control Indicator:

No NCAPS rankingCorrective Action Priority Ranking:

NoNon-TSDFs Where RCRA CA has Been Imposed Universe:

NoSubject to Corrective Action Universe:

No202 GPRA Corrective Action Baseline:

Not on the Baseline2018 GPRA Renewals Baseline:

Not on the Baseline2018 GPRA Permit Baseline:

Not reportedSub-Part K Indicator:

NHazardous Secondary Material Indicator:

Not reportedFederal Facility Indicator:
---Active Site State-Reg Handler:

NoFederal Universal Waste:

NoUniversal Waste Destination Facility:

NoUniversal Waste Indicator:

NoOff-Site Waste Receipt:

NoUnderground Injection Control:

NoSmelting Melting and Refining Furnace Exemption:

NoSmall Quantity On-Site Burner Exemption:

NoRecycler Activity with Storage:

NoTransfer Facility Activity:

NoTransporter Activity:

NoMixed Waste Generator:

NoImporter Activity:

NoShort-Term Generator Activity:

OtherOperator Type:

Steve MccarttOperator Name:

OtherOwner Type:

Vallco Property Owner, LlcOwner Name:

PALOALTO, CA 94306Mailing City,State,Zip:
2600 EL CAMINO REALMailing Address:

Not reportedState District:

Not reportedState District Owner:

Not reportedActive Site Indicator:

Not reportedAccessibility:

Not reportedBiennial Report Cycle:

Not reportedNon-Notifier:

Not a generator, verifiedFederal Waste Generator Description:

Not reportedLand Type:
09EPA Region:

Not reportedContact Title:

[email protected] Email:

Not reportedContact Fax:
415-518-7568Contact Telephone:

VALLCO PROPERTY OWNER, LLC (Continued) 1028886831
TC07984167.2r Page 549
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
No Evaluations FoundEvaluations:

Evaluation Action Summary:

No Violations FoundViolations:

Facility Has Received Notices of Violations:

Residential RemodelersNAICS Description:
236118NAICS Code:

List of NAICS Codes and Descriptions:

NoElectronic Manifest Broker:

NoNon Storage Recycler Activity:

YesCurrent Record:

NoSpent Lead Acid Battery Exporter:

NoSpent Lead Acid Battery Importer:

NoRecognized Trader Exporter:

NoRecognized Trader Importer:

NoLarge Quantity Handler of Universal Waste:

Not reportedState District Owner:

Not a generator, verifiedFederal Waste Generator Description:

VALLCO PROPERTY OWNER, LLCHandler Name:
20230817Receive Date:

Historic Generators:

Not reportedOwner/Operator Email:

Not reportedOwner/Operator Fax:

Not reportedOwner/Operator Telephone Ext:
650-344-1500Owner/Operator Telephone:

CUPERTINO, CA 95014-2509Owner/Operator City,State,Zip:
10123 N. WOLFE RDOwner/Operator Address:

Not reportedDate Ended Current:

Not reportedDate Became Current:

OtherLegal Status:

VALLCO PROPERTY OWNER, LLCOwner/Operator Name:

OwnerOwner/Operator Indicator:

Not reportedOwner/Operator Email:

Not reportedOwner/Operator Fax:

Not reportedOwner/Operator Telephone Ext:
415-518-7568Owner/Operator Telephone:

PALOALTO, CA 94306Owner/Operator City,State,Zip:
2600 EL CAMINO REALOwner/Operator Address:

Not reportedDate Ended Current:

Not reportedDate Became Current:

OtherLegal Status:

STEVE MCCARTTOwner/Operator Name:

OperatorOwner/Operator Indicator:

Handler - Owner Operator:

NoSub-Part P Indicator:

NoManifest Broker:

VALLCO PROPERTY OWNER, LLC (Continued) 1028886831
TC07984167.2r Page 550
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
NoInstitutional Control Indicator:

NoEnvironmental Control Indicator:

No NCAPS rankingCorrective Action Priority Ranking:

NoNon-TSDFs Where RCRA CA has Been Imposed Universe:

NoSubject to Corrective Action Universe:

No202 GPRA Corrective Action Baseline:

Not on the Baseline2018 GPRA Renewals Baseline:

Not on the Baseline2018 GPRA Permit Baseline:

Not reportedSub-Part K Indicator:

NHazardous Secondary Material Indicator:

Not reportedFederal Facility Indicator:
---Active Site State-Reg Handler:

NoFederal Universal Waste:

YesUniversal Waste Destination Facility:

YesUniversal Waste Indicator:

NoOff-Site Waste Receipt:

NoUnderground Injection Control:

NoSmelting Melting and Refining Furnace Exemption:

NoSmall Quantity On-Site Burner Exemption:

NoRecycler Activity with Storage:

NoTransfer Facility Activity:

NoTransporter Activity:

NoMixed Waste Generator:

NoImporter Activity:

NoShort-Term Generator Activity:

OtherOperator Type:

David Greene Ext 5Operator Name:

OtherOwner Type:

Ice Center EnterprisesOwner Name:

ALAMEDA, CA 94501Mailing City,State,Zip:

PO BOX 1433Mailing Address:

Not reportedState District:

Not reportedState District Owner:

Handler ActivitiesActive Site Indicator:

Not reportedAccessibility:

Not reportedBiennial Report Cycle:

Not reportedNon-Notifier:

Not a generator, verifiedFederal Waste Generator Description:

Not reportedLand Type:
09EPA Region:

Not reportedContact Title:

[email protected] Email:

Not reportedContact Fax:
408-446-2906Contact Telephone:

ALAMEDA, CA 94501Contact City,State,Zip:

PO BOX 1433Contact Address:

DAVID GREENE EXT 5Contact Name:

CAL000431845EPA ID:

CUPERTINO, CA 95014Handler City,State,Zip:
10123 N Wolfe Rd Ste 1020Handler Address:

Ice Center CupertinoHandler Name:
20171031Date Form Received by Agency:

RCRA Listings:
1198 ft. Site 2 of 16 in cluster P

0.227 mi.

Relative:

Lower
Actual:
189 ft.

1/8-1/4
CUPERTINO, CA 95014
North 10123 N WOLFE RD STE 1020 CAL000431845
P106 RCRA NonGen / NLRICE CENTER CUPERTINO 1024863304
TC07984167.2r Page 551
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Not reportedElectronic Manifest Broker:

Not reportedNon Storage Recycler Activity:

YesCurrent Record:

NoSpent Lead Acid Battery Exporter:

NoSpent Lead Acid Battery Importer:

NoRecognized Trader Exporter:

NoRecognized Trader Importer:

NoLarge Quantity Handler of Universal Waste:

Not reportedState District Owner:

Not a generator, verifiedFederal Waste Generator Description:

ICE CENTER CUPERTINOHandler Name:
20171031Receive Date:

Historic Generators:

Not reportedOwner/Operator Email:

Not reportedOwner/Operator Fax:

Not reportedOwner/Operator Telephone Ext:
408-446-2906Owner/Operator Telephone:

ALAMEDA, CA 94501Owner/Operator City,State,Zip:

PO BOX 1433Owner/Operator Address:

Not reportedDate Ended Current:

Not reportedDate Became Current:

OtherLegal Status:

DAVID GREENE EXT 5Owner/Operator Name:

OperatorOwner/Operator Indicator:

Not reportedOwner/Operator Email:

Not reportedOwner/Operator Fax:

Not reportedOwner/Operator Telephone Ext:
408-446-2906Owner/Operator Telephone:

ALAMEDA, CA 94501Owner/Operator City,State,Zip:

PO BOX 1433Owner/Operator Address:

Not reportedDate Ended Current:

Not reportedDate Became Current:

OtherLegal Status:

ICE CENTER ENTERPRISESOwner/Operator Name:

OwnerOwner/Operator Indicator:

Handler - Owner Operator:

NoSub-Part P Indicator:

NoManifest Broker:

NoRecycler Activity Without Storage:

NoExporter of Spent Lead Acid Batteries:

NoImporter of Spent Lead Acid Batteries:

NoRecognized Trader-Exporter:

NoRecognized Trader-Importer:
20180907Handler Date of Last Change:

Not reportedFinancial Assurance Required:

NoSignificant Non-Complier With a Compliance Schedule Universe:

NoAddressed Significant Non-Complier Universe:

NoUnaddressed Significant Non-Complier Universe:

NoSignificant Non-Complier Universe:

N/AGroundwater Controls Indicator:

N/AHuman Exposure Controls Indicator:

ICE CENTER CUPERTINO (Continued) 1024863304
TC07984167.2r Page 552
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
No Evaluations FoundEvaluations:

Evaluation Action Summary:

No Violations FoundViolations:

Facility Has Received Notices of Violations:

Skiing FacilitiesNAICS Description:
713920NAICS Code:

List of NAICS Codes and Descriptions:

ICE CENTER CUPERTINO (Continued) 1024863304
SAN FRANCISCO BAY RWQCB (REGION 2)RWQCB Region:

Not reportedFacility Project Subtype:

NoMilitary DOD Site:
15-20%CA Enviroscreen 4 Score:
16-20%CA Enviroscreen 3 Score:

Not reportedDisadvantaged Community:

Santa Clara Valley - Santa Clara (2-009.02)Dwr Groundwater Subbasin Name:

Santa Clara - Palo Alto (205.50)CA Water Watershed Name:

Not reportedNo Further Action Date:

Not reportedStop Description:

Not reportedStop Method:

Not reportedDischarge Cause:

Not reportedDischarge Source:

Not reportedHow Discovered Description:

Not reportedHow Discovered:

Not reportedLeak Reported Date:
11/02/2022Begin Date:

Not reportedQuantity Released Gallons:

Not reportedCoordinate Source:
9EPA Region:

Not reportedPotential Contaminants of Concern:

Under InvestigationPotential Media Affected:

All Files are on GeoTracker or in the Local Agency DatabaseFile Location:

Not reportedRB Case Number:

SANTA CLARA COUNTY LOPLocal Agency:

SMCase Worker:

Cleanup Program SiteCase Type:
-122.01288Longitude:

37.32676Latitude:
2022-15sLead Agency Case Number:

SANTA CLARA COUNTY LOPLead Agency:

T10000020648Global Id:
11/17/2022Status Date:

Open - Site AssessmentFacility Status:

STATERegion:

CUPERTINO, CA 95014City,State,Zip:
10123 NORTH WOLFE ROADAddress:

EAST VALLCO MALL SITEName:

CPS-SLIC:
1198 ft. Site 3 of 16 in cluster P

0.227 mi. CERS
Relative:

Lower
Actual:
189 ft.

1/8-1/4 HAZNETCUPERTINO, CA 95014
North HWTS10123 N WOLFE RD N/A
P107 CPS-SLICICE CENTER ENTERPRISES S112983934
TC07984167.2r Page 553
MAP FINDINGSMap ID
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EPA ID NumberDatabase(s)SiteElevation
10123 N WOLFE AVEContact Address:

DAVID GREENEContact Name:

Not reportedOwner Fax:

Not reportedOwner Phone:

HAYWARD, CA 95014Owner City,State,Zip:

Not reportedOwner Address 2:
10123 N WOLFE AVEOwner Address:

ICE CENTER ENTERPRISESOwner Name:

HAYWARD, CA 95014Mailing City,State,Zip:

Not reportedMailing Address 2:
10123 N WOLFE AVEMailing Address:

Not reportedMailing Name:

Not reportedLast Act Date:
02/25/2011Create Date:
08/25/2011Inactive Date:

CAC002663441EPA ID:

CUPERTINO, CA 95014City,State,Zip:

Not reportedAddress 2:
10123 N WOLFE RDAddress:

ICE CENTER ENTERPRISESName:
-122.01443279Longitude:

37.325985410000001Latitude:

StateCategory:

TemporaryFacility Type:

InactiveFacility Status:

Not reportedContact Fax:

Not reportedContact Phone:

PALO ALTO, CA 94306City,State,Zip:

Not reportedContact Address 2:
2600 EL CAMINO REAL, SUITE 410Contact Address:

PAUL HANSENContact Name:

Not reportedOwner Fax:

Not reportedOwner Phone:

CUPERTINO, CA 95014Owner City,State,Zip:

Not reportedOwner Address 2:
10123 NORTH WOLFE ROADOwner Address:

VALLCO PROPERTY OWNER, LLCOwner Name:

PALO ALTO, CA 94306Mailing City,State,Zip:

Not reportedMailing Address 2:
2600 EL CAMINO REAL, SUITE 410Mailing Address:

Not reportedMailing Name:

Not reportedLast Act Date:
09/14/2022Create Date:
12/14/2022Inactive Date:

CAC003194790EPA ID:

CUPERTINO, CA 95014City,State,Zip:

Not reportedAddress 2:
10123 NORTH WOLFE ROADAddress:

VALLCO PROPERTY OWNER, LLCName:

HWTS:

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

Not reportedSite History:

Not reportedClaim Status:

Not reportedClaim No:

ICE CENTER ENTERPRISES (Continued) S112983934
TC07984167.2r Page 554
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation

0.2502Tons:

H061 - Fuel Blending Prior To Energy Recovery At Another SiteDisposal Method:
223 - Unspecified oil-containing wasteCA Waste Code:

CAT080013352TSD EPA ID:

CAC002663441Gepaid:
2011Year:
10123 N WOLFE AVEMailing Address:

Not reportedMailing Name:
6507733391Telephone:

DAVID GREENEContact:

CUPERTINO, CA 950142509City,State,Zip:

Not reportedAddress 2:
10123 N WOLFE RDAddress:

ICE CENTER ENTERPRISESName:

HAZNET:
-122.01443112Longitude:

37.325961020000001Latitude:

StateCategory:

TemporaryFacility Type:

InactiveFacility Status:

Not reportedContact Fax:

Not reportedContact Phone:

PALOALTO, CA 94306City,State,Zip:

SUITE 410Contact Address 2:
2600 EL CAMINO REALContact Address:

STEVE MCCARTTContact Name:

Not reportedOwner Fax:

Not reportedOwner Phone:

CUPERTINO, CA 950142509Owner City,State,Zip:

Not reportedOwner Address 2:
10123 N. WOLFE RDOwner Address:

VALLCO PROPERTY OWNER, LLCOwner Name:

PALOALTO, CA 94306Mailing City,State,Zip:

SUITE 410Mailing Address 2:
2600 EL CAMINO REALMailing Address:

Not reportedMailing Name:

Not reportedLast Act Date:
08/17/2023Create Date:
11/16/2023Inactive Date:

CAC003247639EPA ID:

CUPERTINO, CA 950142509City,State,Zip:

Not reportedAddress 2:
10123 N. WOLFE RDAddress:

VALLCO PROPERTY OWNER, LLCName:
-122.01278Longitude:

37.32503Latitude:

STATECategory:

TEMPORARYFacility Type:

InactiveFacility Status:

Not reportedContact Fax:

Not reportedContact Phone:

HAYWARD, CA 95014City,State,Zip:

Not reportedContact Address 2:

ICE CENTER ENTERPRISES (Continued) S112983934
TC07984167.2r Page 555
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Not reportedAdditional Code 1:

PQuantity Unit:
100Waste Quantity:

0.05Quantity Tons:

Treatment/Reovery (H010-H129) Or (H131-H135)
H141 - Storage, Bulking, And/Or Transfer Off Site--NoMeth Code:

Not reportedRCRA Code:
352 - Other organic solidsWaste Code Description:

Not reportedTSDF Alt Name:

Not reportedTSDF Alt EPA ID:

FILTER RECYCLING SERVICESTrans Name:

CAD982444481TSDF EPA ID:

Not reportedTrans 2 Name:

Not reportedTrans 2 EPA ID:

ASBURY ENVIRONMENTAL SERVICESTrans Name:

CAD028277036Trans EPA ID:
007251915JJKManifest ID:
20110930Receipt Date:
12/9/2011 18:30:43Creation Date:
20110919Shipment Date:

Not reportedAdditional Code 5:

Not reportedAdditional Code 4:

Not reportedAdditional Code 3:

Not reportedAdditional Code 2:

Not reportedAdditional Code 1:

GQuantity Unit:
30Waste Quantity:

0.1251Quantity Tons:

H061 - Fuel Blending Prior To Energy Recovery At Another SiteMeth Code:

F002RCRA Code:
223 - Unspecified oil-containing wasteWaste Code Description:

Not reportedTSDF Alt Name:

Not reportedTSDF Alt EPA ID:

DEMENNO KERDOONTrans Name:

CAT080013352TSDF EPA ID:

Not reportedTrans 2 Name:

Not reportedTrans 2 EPA ID:

ASBURY ENVIRONMENTAL SERVICESTrans Name:

CAD028277036Trans EPA ID:
007251914JJKManifest ID:
20111003Receipt Date:
12/20/2011 18:30:24Creation Date:
20110919Shipment Date:

CAC002663441Gen EPA ID:
2011Year:

Additional Information:

0.05Tons:

Treatment/Reovery (H010-H129) Or (H131-H135)
H141 - Storage, Bulking, And/Or Transfer Off Site--NoDisposal Method:
352 - Other organic solidsCA Waste Code:

CAD982444481TSD EPA ID:

CAC002663441Gepaid:
2011Year:

ICE CENTER ENTERPRISES (Continued) S112983934
TC07984167.2r Page 556
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EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
4089181943,Affiliation Phone:

Not reportedAffiliation Zip:

Not reportedAffiliation Country:

CAAffiliation State:

SAN JOSEAffiliation City:
1555 Berger Drive, Suite 300Affiliation Address:

Not reportedEntity Title:

SHALOM MARQUARDT - SANTA CLARA COUNTY LOPEntity Name:

Local Agency CaseworkerAffiliation Type Desc:

Affiliation:

Cleanup Program SiteCERS Description:

T10000020648CERS ID:
860570Site ID:

CUPERTINO, CA 95014City,State,Zip:
10123 NORTH WOLFE ROADAddress:

EAST VALLCO MALL SITEName:

CERS:

Not reportedAdditional Code 5:

Not reportedAdditional Code 4:

Not reportedAdditional Code 3:

Not reportedAdditional Code 2:

Not reportedAdditional Code 1:

GQuantity Unit:
30Waste Quantity:

0.1251Quantity Tons:

H061 - Fuel Blending Prior To Energy Recovery At Another SiteMeth Code:

F002RCRA Code:
223 - Unspecified oil-containing wasteWaste Code Description:

Not reportedTSDF Alt Name:

Not reportedTSDF Alt EPA ID:

DEMENNO KERDOONTrans Name:

CAT080013352TSDF EPA ID:

Not reportedTrans 2 Name:

Not reportedTrans 2 EPA ID:

ENVIRONMENTAL LOGISTICS - NTrans Name:

CAR000172478Trans EPA ID:
007251733JJKManifest ID:
20110316Receipt Date:
5/19/2011 18:30:10Creation Date:
20110309Shipment Date:

Not reportedAdditional Code 5:

Not reportedAdditional Code 4:

Not reportedAdditional Code 3:

Not reportedAdditional Code 2:

ICE CENTER ENTERPRISES (Continued) S112983934
TC07984167.2r Page 557
MAP FINDINGSMap ID
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EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
NoInstitutional Control Indicator:

NoEnvironmental Control Indicator:

No NCAPS rankingCorrective Action Priority Ranking:

NoNon-TSDFs Where RCRA CA has Been Imposed Universe:

NoSubject to Corrective Action Universe:

No202 GPRA Corrective Action Baseline:

Not on the Baseline2018 GPRA Renewals Baseline:

Not on the Baseline2018 GPRA Permit Baseline:

Not reportedSub-Part K Indicator:

NHazardous Secondary Material Indicator:

Not reportedFederal Facility Indicator:
---Active Site State-Reg Handler:

NoFederal Universal Waste:

NoUniversal Waste Destination Facility:

NoUniversal Waste Indicator:

NoOff-Site Waste Receipt:

NoUnderground Injection Control:

NoSmelting Melting and Refining Furnace Exemption:

NoSmall Quantity On-Site Burner Exemption:

NoRecycler Activity with Storage:

NoTransfer Facility Activity:

NoTransporter Activity:

NoMixed Waste Generator:

NoImporter Activity:

NoShort-Term Generator Activity:

OtherOperator Type:

Paul HansenOperator Name:

OtherOwner Type:

Vallco Property Owner, LlcOwner Name:

PALO ALTO, CA 94306Mailing City,State,Zip:
2600 EL CAMINO REAL, SUITE 410Mailing Address:

Not reportedState District:

Not reportedState District Owner:

Not reportedActive Site Indicator:

Not reportedAccessibility:

Not reportedBiennial Report Cycle:

Not reportedNon-Notifier:

Not a generator, verifiedFederal Waste Generator Description:

Not reportedLand Type:
09EPA Region:

Not reportedContact Title:

[email protected] Email:

Not reportedContact Fax:
408-442-2121Contact Telephone:

PALO ALTO, CA 94306Contact City,State,Zip:
2600 EL CAMINO REAL, SUITE 410Contact Address:

PAUL HANSENContact Name:

CAC003194790EPA ID:

CUPERTINO, CA 95014Handler City,State,Zip:
10123 North Wolfe RoadHandler Address:

Vallco Property Owner, LlcHandler Name:
20220914Date Form Received by Agency:

RCRA Listings:
1198 ft. Site 4 of 16 in cluster P

0.227 mi.

Relative:

Lower
Actual:
189 ft.

1/8-1/4
CUPERTINO, CA 95014
North E MANIFEST10123 NORTH WOLFE ROAD CAC003194790
P108 RCRA NonGen / NLRVALLCO PROPERTY OWNER, LLC 1027456563 TC07984167.2r Page 558
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
NoElectronic Manifest Broker:

NoNon Storage Recycler Activity:

YesCurrent Record:

NoSpent Lead Acid Battery Exporter:

NoSpent Lead Acid Battery Importer:

NoRecognized Trader Exporter:

NoRecognized Trader Importer:

NoLarge Quantity Handler of Universal Waste:

Not reportedState District Owner:

Not a generator, verifiedFederal Waste Generator Description:

VALLCO PROPERTY OWNER, LLCHandler Name:
20220914Receive Date:

Historic Generators:

Not reportedOwner/Operator Email:

Not reportedOwner/Operator Fax:

Not reportedOwner/Operator Telephone Ext:
650-344-1500Owner/Operator Telephone:

CUPERTINO, CA 95014Owner/Operator City,State,Zip:
10123 NORTH WOLFE ROADOwner/Operator Address:

Not reportedDate Ended Current:

Not reportedDate Became Current:

OtherLegal Status:

VALLCO PROPERTY OWNER, LLCOwner/Operator Name:

OwnerOwner/Operator Indicator:

Not reportedOwner/Operator Email:

Not reportedOwner/Operator Fax:

Not reportedOwner/Operator Telephone Ext:
408-442-2121Owner/Operator Telephone:

PALO ALTO, CA 94306Owner/Operator City,State,Zip:
2600 EL CAMINO REAL, SUITE 410Owner/Operator Address:

Not reportedDate Ended Current:

Not reportedDate Became Current:

OtherLegal Status:

PAUL HANSENOwner/Operator Name:

OperatorOwner/Operator Indicator:

Handler - Owner Operator:

NoSub-Part P Indicator:

NoManifest Broker:

NoRecycler Activity Without Storage:

NoExporter of Spent Lead Acid Batteries:

NoImporter of Spent Lead Acid Batteries:

NoRecognized Trader-Exporter:

NoRecognized Trader-Importer:
20220915Handler Date of Last Change:

Not reportedFinancial Assurance Required:

NoSignificant Non-Complier With a Compliance Schedule Universe:

NoAddressed Significant Non-Complier Universe:

NoUnaddressed Significant Non-Complier Universe:

NoSignificant Non-Complier Universe:

N/AGroundwater Controls Indicator:

N/AHuman Exposure Controls Indicator:

VALLCO PROPERTY OWNER, LLC (Continued) 1027456563
TC07984167.2r Page 559
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EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
20231229Shipped Date:
20240105Last Updated Date:
025533250JJKManifest Tracking Number:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

IDDesignated Facility Location State:
83624Designated Facility Location Zip:

GRAND VIEWDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:

LEMLEY ROADDesignated Facility Location Street 1:
20400Designated Facility Location Street Number:

IDDesignated Facility Mail State:
83624Designated Facility Mail Zip:

GRAND VIEWDesignated Facility Mail City:
20400 LEMLEY ROADDesignated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:

Not reportedDesignated Facility Mail Street Number:

Us Ecology Idaho, Inc.Designated Facility Name:

IDD073114654Designated Facility EPA ID:

Not reportedGenerator Contact Company Name:

CAGenerator Mail State:
94304Generator Mail Zip:

PALO ALTOGenerator Mail City:

Not reportedGenerator Mail Street 2:
2600 EL CAMINO REAL, SUITE 410Generator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
10123 NORTH WOLFE ROADGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Vallco Property Owner LlcGenerator Name:

CAC003194790Generator EPA ID:

ServiceOrigin Type:

DataImage5CopySubmission Type:

SignedManifest Status:
20231228Received Date:
20231204Shipped Date:
20240103Last Updated Date:
025533249JJKManifest Tracking Number:

E MANIFEST:

No Evaluations FoundEvaluations:

Evaluation Action Summary:

No Violations FoundViolations:

Facility Has Received Notices of Violations:

Land SubdivisionNAICS Description:
237210NAICS Code:

List of NAICS Codes and Descriptions:

VALLCO PROPERTY OWNER, LLC (Continued) 1027456563
TC07984167.2r Page 560
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94304Generator Mail Zip:

PALO ALTOGenerator Mail City:

Not reportedGenerator Mail Street 2:
2600 EL CAMINO REAL, SUITE 410Generator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
10123 NORTH WOLFE ROADGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Vallco Property Owner LlcGenerator Name:

CAC003194790Generator EPA ID:

ServiceOrigin Type:

DataImage5CopySubmission Type:

SignedManifest Status:
20231228Received Date:
20231228Shipped Date:
20240103Last Updated Date:
025533251JJKManifest Tracking Number:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

IDDesignated Facility Location State:
83624Designated Facility Location Zip:

GRAND VIEWDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:

LEMLEY ROADDesignated Facility Location Street 1:
20400Designated Facility Location Street Number:

IDDesignated Facility Mail State:
83624Designated Facility Mail Zip:

GRAND VIEWDesignated Facility Mail City:
20400 LEMLEY ROADDesignated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:

Not reportedDesignated Facility Mail Street Number:

Us Ecology Idaho, Inc.Designated Facility Name:

IDD073114654Designated Facility EPA ID:

Not reportedGenerator Contact Company Name:

CAGenerator Mail State:
94304Generator Mail Zip:

PALO ALTOGenerator Mail City:

Not reportedGenerator Mail Street 2:
2600 EL CAMINO REAL, SUITE 410Generator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
10123 NORTH WOLFE ROADGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Vallco Property Owner LlcGenerator Name:

CAC003194790Generator EPA ID:

ServiceOrigin Type:

DataImage5CopySubmission Type:

SignedManifest Status:
20231229Received Date:

VALLCO PROPERTY OWNER, LLC (Continued) 1027456563
TC07984167.2r Page 561
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EPA ID NumberDatabase(s)SiteElevation
Not reportedDesignated Facility Contact Company Name:

IDDesignated Facility Location State:
83624Designated Facility Location Zip:

GRAND VIEWDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:

LEMLEY ROADDesignated Facility Location Street 1:
20400Designated Facility Location Street Number:

IDDesignated Facility Mail State:
83624Designated Facility Mail Zip:

GRAND VIEWDesignated Facility Mail City:
20400 LEMLEY ROADDesignated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:

Not reportedDesignated Facility Mail Street Number:

Us Ecology Idaho, Inc.Designated Facility Name:

IDD073114654Designated Facility EPA ID:

Not reportedGenerator Contact Company Name:

CAGenerator Mail State:
94304Generator Mail Zip:

PALO ALTOGenerator Mail City:

Not reportedGenerator Mail Street 2:
2600 EL CAMINO REAL, SUITE 410Generator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
10123 NORTH WOLFE ROADGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Vallco Property Owner LlcGenerator Name:

CAC003194790Generator EPA ID:

ServiceOrigin Type:

DataImage5CopySubmission Type:

SignedManifest Status:
20231228Received Date:
20231228Shipped Date:
20240103Last Updated Date:
025533252JJKManifest Tracking Number:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

IDDesignated Facility Location State:
83624Designated Facility Location Zip:

GRAND VIEWDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:

LEMLEY ROADDesignated Facility Location Street 1:
20400Designated Facility Location Street Number:

IDDesignated Facility Mail State:
83624Designated Facility Mail Zip:

GRAND VIEWDesignated Facility Mail City:
20400 LEMLEY ROADDesignated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:

Not reportedDesignated Facility Mail Street Number:

Us Ecology Idaho, Inc.Designated Facility Name:

IDD073114654Designated Facility EPA ID:

Not reportedGenerator Contact Company Name:

CAGenerator Mail State:

VALLCO PROPERTY OWNER, LLC (Continued) 1027456563
TC07984167.2r Page 562
MAP FINDINGSMap ID
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EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
10123 NORTH WOLFE ROADGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Vallco Property Owner LlcGenerator Name:

CAC003194790Generator EPA ID:

ServiceOrigin Type:

DataImage5CopySubmission Type:

SignedManifest Status:
20231229Received Date:
20231229Shipped Date:
20240105Last Updated Date:
025533262JJKManifest Tracking Number:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

IDDesignated Facility Location State:
83624Designated Facility Location Zip:

GRAND VIEWDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:

LEMLEY ROADDesignated Facility Location Street 1:
20400Designated Facility Location Street Number:

IDDesignated Facility Mail State:
83624Designated Facility Mail Zip:

GRAND VIEWDesignated Facility Mail City:
20400 LEMLEY ROADDesignated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:

Not reportedDesignated Facility Mail Street Number:

Us Ecology Idaho, Inc.Designated Facility Name:

IDD073114654Designated Facility EPA ID:

Not reportedGenerator Contact Company Name:

CAGenerator Mail State:
94304Generator Mail Zip:

PALO ALTOGenerator Mail City:

Not reportedGenerator Mail Street 2:
2600 EL CAMINO REAL, SUITE 410Generator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
10123 NORTH WOLFE ROADGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Vallco Property Owner LlcGenerator Name:

CAC003194790Generator EPA ID:

ServiceOrigin Type:

DataImage5CopySubmission Type:

SignedManifest Status:
20231228Received Date:
20231228Shipped Date:
20240103Last Updated Date:
025533261JJKManifest Tracking Number:

NRejection Indicator:

NManifest Residue Indicator:

VALLCO PROPERTY OWNER, LLC (Continued) 1027456563
TC07984167.2r Page 563
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20400Designated Facility Location Street Number:

IDDesignated Facility Mail State:
83624Designated Facility Mail Zip:

GRAND VIEWDesignated Facility Mail City:
20400 LEMLEY ROADDesignated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:

Not reportedDesignated Facility Mail Street Number:

Us Ecology Idaho, Inc.Designated Facility Name:

IDD073114654Designated Facility EPA ID:

Not reportedGenerator Contact Company Name:

CAGenerator Mail State:
94304Generator Mail Zip:

PALO ALTOGenerator Mail City:

Not reportedGenerator Mail Street 2:
2600 EL CAMINO REAL, SUITE 410Generator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
10123 NORTH WOLFE ROADGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Vallco Property Owner LlcGenerator Name:

CAC003194790Generator EPA ID:

ServiceOrigin Type:

DataImage5CopySubmission Type:

SignedManifest Status:
20231227Received Date:
20231227Shipped Date:
20231229Last Updated Date:
025533266JJKManifest Tracking Number:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

IDDesignated Facility Location State:
83624Designated Facility Location Zip:

GRAND VIEWDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:

LEMLEY ROADDesignated Facility Location Street 1:
20400Designated Facility Location Street Number:

IDDesignated Facility Mail State:
83624Designated Facility Mail Zip:

GRAND VIEWDesignated Facility Mail City:
20400 LEMLEY ROADDesignated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:

Not reportedDesignated Facility Mail Street Number:

Us Ecology Idaho, Inc.Designated Facility Name:

IDD073114654Designated Facility EPA ID:

Not reportedGenerator Contact Company Name:

CAGenerator Mail State:
94304Generator Mail Zip:

PALO ALTOGenerator Mail City:

Not reportedGenerator Mail Street 2:
2600 EL CAMINO REAL, SUITE 410Generator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

VALLCO PROPERTY OWNER, LLC (Continued) 1027456563
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CAC003194790Generator EPA ID:

ServiceOrigin Type:

DataImage5CopySubmission Type:

SignedManifest Status:
20231227Received Date:
20231227Shipped Date:
20240105Last Updated Date:
025533268JJKManifest Tracking Number:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

IDDesignated Facility Location State:
83624Designated Facility Location Zip:

GRAND VIEWDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:

LEMLEY ROADDesignated Facility Location Street 1:
20400Designated Facility Location Street Number:

IDDesignated Facility Mail State:
83624Designated Facility Mail Zip:

GRAND VIEWDesignated Facility Mail City:
20400 LEMLEY ROADDesignated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:

Not reportedDesignated Facility Mail Street Number:

Us Ecology Idaho, Inc.Designated Facility Name:

IDD073114654Designated Facility EPA ID:

Not reportedGenerator Contact Company Name:

CAGenerator Mail State:
94304Generator Mail Zip:

PALO ALTOGenerator Mail City:

Not reportedGenerator Mail Street 2:
2600 EL CAMINO REAL, SUITE 410Generator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
10123 NORTH WOLFE ROADGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Vallco Property Owner LlcGenerator Name:

CAC003194790Generator EPA ID:

ServiceOrigin Type:

DataImage5CopySubmission Type:

SignedManifest Status:
20231227Received Date:
20231227Shipped Date:
20231229Last Updated Date:
025533267JJKManifest Tracking Number:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

IDDesignated Facility Location State:
83624Designated Facility Location Zip:

GRAND VIEWDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:

LEMLEY ROADDesignated Facility Location Street 1:

VALLCO PROPERTY OWNER, LLC (Continued) 1027456563
TC07984167.2r Page 565
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Not reportedDesignated Facility Mail Street Number:

Us Ecology Idaho, Inc.Designated Facility Name:

IDD073114654Designated Facility EPA ID:

Not reportedGenerator Contact Company Name:

CAGenerator Mail State:
94304Generator Mail Zip:

PALO ALTOGenerator Mail City:

Not reportedGenerator Mail Street 2:
2600 EL CAMINO REAL, SUITE 410Generator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
10123 NORTH WOLFE ROADGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Vallco Property Owner LlcGenerator Name:

CAC003194790Generator EPA ID:

ServiceOrigin Type:

DataImage5CopySubmission Type:

SignedManifest Status:
20231228Received Date:
20231228Shipped Date:
20240103Last Updated Date:
025533269JJKManifest Tracking Number:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

IDDesignated Facility Location State:
83624Designated Facility Location Zip:

GRAND VIEWDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:

LEMLEY ROADDesignated Facility Location Street 1:
20400Designated Facility Location Street Number:

IDDesignated Facility Mail State:
83624Designated Facility Mail Zip:

GRAND VIEWDesignated Facility Mail City:
20400 LEMLEY ROADDesignated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:

Not reportedDesignated Facility Mail Street Number:

Us Ecology Idaho, Inc.Designated Facility Name:

IDD073114654Designated Facility EPA ID:

Not reportedGenerator Contact Company Name:

CAGenerator Mail State:
94304Generator Mail Zip:

PALO ALTOGenerator Mail City:

Not reportedGenerator Mail Street 2:
2600 EL CAMINO REAL, SUITE 410Generator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
10123 NORTH WOLFE ROADGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Vallco Property Owner LlcGenerator Name:

VALLCO PROPERTY OWNER, LLC (Continued) 1027456563
TC07984167.2r Page 566
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EPA ID NumberDatabase(s)SiteElevation
025533633JJKManifest Tracking Number:

Transporter:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

IDDesignated Facility Location State:
83624Designated Facility Location Zip:

GRAND VIEWDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:

LEMLEY ROADDesignated Facility Location Street 1:
20400Designated Facility Location Street Number:

IDDesignated Facility Mail State:
83624Designated Facility Mail Zip:

GRAND VIEWDesignated Facility Mail City:
20400 LEMLEY ROADDesignated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:

Not reportedDesignated Facility Mail Street Number:

Us Ecology Idaho, Inc.Designated Facility Name:

IDD073114654Designated Facility EPA ID:

Not reportedGenerator Contact Company Name:

CAGenerator Mail State:
94304Generator Mail Zip:

PALO ALTOGenerator Mail City:

Not reportedGenerator Mail Street 2:
2600 EL CAMINO REAL, SUITE 410Generator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
10123 NORTH WOLFE ROADGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Vallco Property Owner LlcGenerator Name:

CAC003194790Generator EPA ID:

ServiceOrigin Type:

DataImage5CopySubmission Type:

SignedManifest Status:
20240216Received Date:
20240216Shipped Date:
20240221Last Updated Date:
025533586JJKManifest Tracking Number:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

IDDesignated Facility Location State:
83624Designated Facility Location Zip:

GRAND VIEWDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:

LEMLEY ROADDesignated Facility Location Street 1:
20400Designated Facility Location Street Number:

IDDesignated Facility Mail State:
83624Designated Facility Mail Zip:

GRAND VIEWDesignated Facility Mail City:
20400 LEMLEY ROADDesignated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:

VALLCO PROPERTY OWNER, LLC (Continued) 1027456563
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6 additional US EManifest: record(s) in the EDR Site Report.

Click this hyperlink while viewing on your computer to access CA-181State Waste Codes:

5.370274Quantity Non Haz Tons:
4871Quantity Non Haz Kg:

Not reportedQuantity Haz Tons:

Not reportedQuantity Haz Kg:

Not reportedFederal Waste Codes:

NEPA Waste Indicator:

Not reportedConsent Number:

Not reportedWaste Minimization Code Description:

Not reportedWaste Minimization Code:

Not reportedSource Code Description:

Not reportedSource Code:

Not reportedForm Code Description:

Not reportedForm Code:

Not reportedWaste Density Unit of Measure Description:

Not reportedWaste Density Unit of Measure Code:

Not reportedWaste Density:

NWaste Type Discrepancy Indicator:

NQuantity Discrepancy Indicator:

NWaste Residue Indicator:

LANDFILL (WITH PRIOR TREATMENT AND/OR STABILIZATION)Management Method Description:

H132Management Method Code:
4871Non-Acute Waste Quantity, in Kilorgrams:
0Acute Waste Quantity, in Kilograms:
4871Waste Quantity, in Kilograms:

5.370274Non-Acute Waste Quantity, in Tons:
0Acute Waste Quantity, in Tons:

5.370274Waste Quantity, in Tons:

KilogramsQuantity Unit of Measure Description:

KQuantity Unit of Measure Code:
4871Waste Quantity:

Dump truckContainer Type Description:

DTContainer Type Code:
1Number of Containers:

Not reportedNon-Hazardous Waste Description:

Rq, Na3077, Hazardous Waste Solid, N.O.S. (Pcb <2 Ppm), 9, Pg IiiU.S. DOT Description:

NA3077U.S. DOT ID Number:

YU.S. DOT Hazardous Indicator:
1Waste Line Number:
025533633JJKManifest Tracking Number:

Waste Line:

Eighteen TruckingTransporter Name:

CAR000184788Transporter EPA ID:
1Transporter Line Number:

VALLCO PROPERTY OWNER, LLC (Continued) 1027456563
TC07984167.2r Page 568
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
FA0200626Facility ID:

PR0317824Record ID:
-122.014532Longitude:

37.325703Latitude:

DEH PERMIT-HAZ WASTE GENERATOR PROGRAMProgram Identifier:

GENERATES 100 KG TO < 5 TONS/YEARProgram Description:
2205PE#:

Not reportedUDF Email:
4082525988Telephone:

SANTA CLARARegion:

CUPERTINO, CA 95104City,State,Zip:
10123 N WOLFE RD 2106Address:

RITZ CAMERA #562Name:

FA0200626Facility ID:

PR0364913Record ID:
-122.014532Longitude:

37.325703Latitude:

DEH PERMIT-ONSITE HAZ WASTE TREATMENT/TIERED PERMIT PROGRAMProgram Identifier:

CONDITIONALLY EXEMPT (CE)Program Description:
2263PE#:

Not reportedUDF Email:
4082525988Telephone:

SANTA CLARARegion:

CUPERTINO, CA 95104City,State,Zip:
10123 N WOLFE RD 2106Address:

RITZ CAMERA #562Name:

CUPA SANTA CLARA:
1198 ft. Site 5 of 16 in cluster P

0.227 mi.

Relative:

Lower
Actual:
189 ft.

1/8-1/4 CUPERTINO, CA 95104
North 10123 N WOLFE RD 2106 N/A
P109 CUPA ListingsRITZ CAMERA #562 S121468418
SANTA CLARARegion:

CUPERTINO, CA 95014City,State,Zip:
10123 N WOLFE RD 2165Address:

THE PICTURE PEOPLE #2Name:

FA0200627Facility ID:

PR0313953Record ID:
-122.014532Longitude:

37.325703Latitude:

DEH PERMIT-HAZ WASTE GENERATOR PROGRAMProgram Identifier:

GENERATES 5 TO <25 TONS/YEARProgram Description:
2206PE#:

Not reportedUDF Email:
4082524687Telephone:

SANTA CLARARegion:

CUPERTINO, CA 95014City,State,Zip:
10123 N WOLFE RD 2165Address:

THE PICTURE PEOPLE #2Name:

CUPA SANTA CLARA:
1198 ft. Site 6 of 16 in cluster P

0.227 mi.

Relative:

Lower
Actual:
189 ft.

1/8-1/4 CUPERTINO, CA 95014
North 10123 N WOLFE RD 2165 N/A
P110 CUPA ListingsTHE PICTURE PEOPLE #2 S121468419
TC07984167.2r Page 569
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
FA0200627Facility ID:

PR0364802Record ID:
-122.014532Longitude:

37.325703Latitude:

DEH PERMIT-ONSITE HAZ WASTE TREATMENT/TIERED PERMIT PROGRAMProgram Identifier:

CONDITIONALLY EXEMPT (CE)Program Description:
2263PE#:

Not reportedUDF Email:
4082524687Telephone:

THE PICTURE PEOPLE #2 (Continued) S121468419
Not reportedOther:

Not reportedMeasure:

Not reportedType:

Not reportedWhat Happened:

Not reportedContainment:

YesCleanup By:

OtherSpill Site:

Not reportedWaterway:

NoWaterway Involved:

Not reportedFacility Telephone:

Not reportedReport Date:

Not reportedReporting Officer Name/ID:

Not reportedCompany Name:

Not reportedCA DOT PUC/ICC Number:

Not reportedVehicle Id Number:

Not reportedVehicle State:

Not reportedVehicle License Number:

Not reportedVehicle Make/year:

Not reportedOthers Number Of Fatalities:

Not reportedOthers Number Of Injuries:

Not reportedOthers Number Of Decontaminated:

Not reportedResponding Agency Personel # Of Fatalities:

Not reportedResponding Agency Personel # Of Injuries:

Not reportedResp Agncy Personel # Of Decontaminated:

Not reportedMore Than Two Substances Involved?:

Not reportedProperty Management:

Not reportedEstimated Temperature:

Not reportedSurrounding Area:

Not reportedTime Completed:

Not reportedTime Notified:

Not reportedAgency Incident Number:

Not reportedAgency Id Number:

Not reportedProperty Use:

Not reportedDate Completed:

Not reportedOES Time:

Not reportedOES Date:
08/14/2014OES notification:
4-4549OES Incident Number:

CUPERTINO, CA 95014City,State,Zip:
10123 NORTH WOLFE RDAddress:

Not reportedName:

CHMIRS:
1198 ft. Site 7 of 16 in cluster P

0.227 mi.

Relative:

Lower
Actual:
189 ft.

1/8-1/4 CUPERTINO, CA 95014
North HIST CORTESE10123 NORTH WOLFE RD N/A
P111 CHMIRS S104396930
TC07984167.2r Page 570
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
43-1252Reg Id:

LTNKAReg By:
43Facility County Code:

CORTESERegion:

CUPERTINO, CACity,State,Zip:
10123 WOLFEedr_fadd1:

SEARS AUTOMOTIVE CENTERedr_fname:

HIST CORTESE:
minor flame damage and moderate water damage.
were impacted. Caller states the fire is out with
mall and theater. Caller also states no waterways
approximately 20 people were evacuated from the
occurred at the Vallco Shopping Mall and
is enroute for clean-up. Caller states this
into a sanitary sewer. Caller states a contractor
substance released to grease traps and possibly
the tank filling and overflowing. Caller states
Caller states a sprinkler fused which resulted in
Caller states substance released due to a fire.Description:

Not reportedComments:

NoFatals:

OtherInjuries:

NoEvacs:

No#3 Vessel >= 300 Tons:

No#2 Vessel >= 300 Tons:

No#1 Vessel >= 300 Tons:

No#3 Pipeline:

No#2 Pipeline:

No#1 Pipeline:

Not reportedNumber of Fatalities:

FireNumber of Injuries:

Not reportedEvacuations:

Not reportedSubstance #3:

Not reportedSubstance #2:

Not reportedUnknown:
50Quantity Released:

Hydraulic FluidSubstance:

Not reportedE Date:

Not reportedSite Type:

YesContained:

Not reportedAmount:
20Admin Agency:
8/13/2014Incident Date:

Santa Clara Co Fire DeptAgency:
2014Year:
2227Date/Time:

Not reportedOther:

Gal(s)Measure:

PETROLEUMType:
(Continued) S104396930
TC07984167.2r Page 571
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
NoInstitutional Control Indicator:

NoEnvironmental Control Indicator:

No NCAPS rankingCorrective Action Priority Ranking:

NoNon-TSDFs Where RCRA CA has Been Imposed Universe:

NoSubject to Corrective Action Universe:

No202 GPRA Corrective Action Baseline:

Not on the Baseline2018 GPRA Renewals Baseline:

Not on the Baseline2018 GPRA Permit Baseline:

Not reportedSub-Part K Indicator:

NHazardous Secondary Material Indicator:

Not reportedFederal Facility Indicator:
---Active Site State-Reg Handler:

NoFederal Universal Waste:

NoUniversal Waste Destination Facility:

NoUniversal Waste Indicator:

NoOff-Site Waste Receipt:

NoUnderground Injection Control:

NoSmelting Melting and Refining Furnace Exemption:

NoSmall Quantity On-Site Burner Exemption:

NoRecycler Activity with Storage:

NoTransfer Facility Activity:

NoTransporter Activity:

NoMixed Waste Generator:

NoImporter Activity:

NoShort-Term Generator Activity:

Not reportedOperator Type:

Not reportedOperator Name:

Not reportedOwner Type:

Not reportedOwner Name:

Not reportedMailing City,State,Zip:

Not reportedMailing Address:

Not reportedState District:

Not reportedState District Owner:

Not reportedActive Site Indicator:

Not reportedAccessibility:

Not reportedBiennial Report Cycle:

Not reportedNon-Notifier:

Not a generator, verifiedFederal Waste Generator Description:

Not reportedLand Type:
09EPA Region:

Not reportedContact Title:

[email protected] Email:

Not reportedContact Fax:
408-446-2906Contact Telephone:

ALAMEDA, CA 94501Contact City,State,Zip:

PO BOX 1433Contact Address:

DAVID GREENEContact Name:

CAC003300539EPA ID:

CUPERTINO, CA 95014Handler City,State,Zip:
10123 N Wolfe Road, Ste. 1020Handler Address:

Ice Center CupertinoHandler Name:
20241108Date Form Received by Agency:

RCRA Listings:
1198 ft. Site 8 of 16 in cluster P

0.227 mi.

Relative:

Lower
Actual:
189 ft.

1/8-1/4
CUPERTINO, CA 95014
North E MANIFEST10123 N WOLFE ROAD, STE. 1020 CAC003300539 P112 RCRA NonGen / NLRICE CENTER CUPERTINO 1031275586
TC07984167.2r Page 572
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
NoElectronic Manifest Broker:

NoNon Storage Recycler Activity:

NoCurrent Record:

NoSpent Lead Acid Battery Exporter:

NoSpent Lead Acid Battery Importer:

NoRecognized Trader Exporter:

NoRecognized Trader Importer:

NoLarge Quantity Handler of Universal Waste:

Not reportedState District Owner:

Not a generator, verifiedFederal Waste Generator Description:

ICE CENTER CUPERTINOHandler Name:
20240809Receive Date:

Historic Generators:

Not reportedOwner/Operator Email:

Not reportedOwner/Operator Fax:

Not reportedOwner/Operator Telephone Ext:
408-446-2906Owner/Operator Telephone:

ALAMEDA, CA 94501Owner/Operator City,State,Zip:

PO BOX 1433Owner/Operator Address:

Not reportedDate Ended Current:

Not reportedDate Became Current:

OtherLegal Status:

DAVID GREENEOwner/Operator Name:

OperatorOwner/Operator Indicator:

Not reportedOwner/Operator Email:

Not reportedOwner/Operator Fax:

Not reportedOwner/Operator Telephone Ext:
408-446-2906Owner/Operator Telephone:

ALAMEDA, CA 94501Owner/Operator City,State,Zip:

PO BOX 1433Owner/Operator Address:

Not reportedDate Ended Current:

Not reportedDate Became Current:

OtherLegal Status:

ICE CENTER CUPERTINOOwner/Operator Name:

OwnerOwner/Operator Indicator:

Handler - Owner Operator:

NoSub-Part P Indicator:

NoManifest Broker:

NoRecycler Activity Without Storage:

NoExporter of Spent Lead Acid Batteries:

NoImporter of Spent Lead Acid Batteries:

NoRecognized Trader-Exporter:

NoRecognized Trader-Importer:
20241205Handler Date of Last Change:

Not reportedFinancial Assurance Required:

NoSignificant Non-Complier With a Compliance Schedule Universe:

NoAddressed Significant Non-Complier Universe:

NoUnaddressed Significant Non-Complier Universe:

NoSignificant Non-Complier Universe:

N/AGroundwater Controls Indicator:

N/AHuman Exposure Controls Indicator:

ICE CENTER CUPERTINO (Continued) 1031275586
TC07984167.2r Page 573
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
CADesignated Facility Mail State:
90023Designated Facility Mail Zip:

LOS ANGELESDesignated Facility Mail City:

EAST PICO BLVDDesignated Facility Mail Street 2:

CA90023 CA037US 3150Designated Facility Mail Street 1:
3150Designated Facility Mail Street Number:

Pacific Resource Recovery Services IncDesignated Facility Name:

CAD008252405Designated Facility EPA ID:

Not reportedGenerator Contact Company Name:

CAGenerator Mail State:
94501Generator Mail Zip:

ALAMEDAGenerator Mail City:

Not reportedGenerator Mail Street 2:

PO BOX 1433Generator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
10123 N WOLFE ROAD, STE. 1020Generator Location Street 1:

Not reportedGenerator Location Street Number:

Ice Center CupertinoGenerator Name:

CAC003300539Generator EPA ID:

WebOrigin Type:

DataImage5CopySubmission Type:

SignedManifest Status:
20240905Received Date:
20240822Shipped Date:
20241015Last Updated Date:
007477500GBFManifest Tracking Number:

E MANIFEST:

No Evaluations FoundEvaluations:

Evaluation Action Summary:

No Violations FoundViolations:

Facility Has Received Notices of Violations:

Scenic And Sightseeing Transportation, LandNAICS Description:
487110NAICS Code:

List of NAICS Codes and Descriptions:

NoElectronic Manifest Broker:

NoNon Storage Recycler Activity:

YesCurrent Record:

NoSpent Lead Acid Battery Exporter:

NoSpent Lead Acid Battery Importer:

NoRecognized Trader Exporter:

NoRecognized Trader Importer:

NoLarge Quantity Handler of Universal Waste:

Not reportedState District Owner:

Not a generator, verifiedFederal Waste Generator Description:

ICE CENTER CUPERTINOHandler Name:
20241108Receive Date:

ICE CENTER CUPERTINO (Continued) 1031275586
TC07984167.2r Page 574
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
NEPA Waste Indicator:

Not reportedConsent Number:

Not reportedWaste Minimization Code Description:

Not reportedWaste Minimization Code:

Not reportedSource Code Description:

Not reportedSource Code:

Not reportedForm Code Description:

Not reportedForm Code:

Not reportedWaste Density Unit of Measure Description:

Not reportedWaste Density Unit of Measure Code:

Not reportedWaste Density:

NWaste Type Discrepancy Indicator:

NQuantity Discrepancy Indicator:

NWaste Residue Indicator:

STORAGE, BULKING AND/OR TRANSFER OFF SITEManagement Method Description:

H141Management Method Code:

22.67575Non-Acute Waste Quantity, in Kilorgrams:
0Acute Waste Quantity, in Kilograms:

22.67575Waste Quantity, in Kilograms:

0.025Non-Acute Waste Quantity, in Tons:
0Acute Waste Quantity, in Tons:

0.025Waste Quantity, in Tons:

PoundsQuantity Unit of Measure Description:

PQuantity Unit of Measure Code:
50Waste Quantity:

Metal drums, barrels, kegsContainer Type Description:

DMContainer Type Code:
1Number of Containers:

Not reportedNon-Hazardous Waste Description:

Un1950, Waste Aerosols, 2.1U.S. DOT Description:

UN1950U.S. DOT ID Number:

YU.S. DOT Hazardous Indicator:
1Waste Line Number:
007477500GBFManifest Tracking Number:

Waste Line:

Environmental Mngmt Technologies IncTransporter Name:

CAR000183574Transporter EPA ID:
2Transporter Line Number:
007477500GBFManifest Tracking Number:

Independence Environmental Services, LlcTransporter Name:

CAR000306548Transporter EPA ID:
1Transporter Line Number:
007477500GBFManifest Tracking Number:

Transporter:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

CADesignated Facility Location State:
90023-0000Designated Facility Location Zip:

LOS ANGELESDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:

EAST PICO BLVDDesignated Facility Location Street 1:
3150Designated Facility Location Street Number:

ICE CENTER CUPERTINO (Continued) 1031275586
TC07984167.2r Page 575
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
CA-331State Waste Codes:

0.025Quantity Non Haz Tons:

22.67575Quantity Non Haz Kg:
0Quantity Haz Tons:
0Quantity Haz Kg:

Not reportedFederal Waste Codes:

ICE CENTER CUPERTINO (Continued) 1031275586
Not reportedSub-Part K Indicator:

NHazardous Secondary Material Indicator:

Not reportedFederal Facility Indicator:
---Active Site State-Reg Handler:

NoFederal Universal Waste:

NoUniversal Waste Destination Facility:

NoUniversal Waste Indicator:

NoOff-Site Waste Receipt:

NoUnderground Injection Control:

NoSmelting Melting and Refining Furnace Exemption:

NoSmall Quantity On-Site Burner Exemption:

NoRecycler Activity with Storage:

NoTransfer Facility Activity:

NoTransporter Activity:

NoMixed Waste Generator:

NoImporter Activity:

NoShort-Term Generator Activity:

Not reportedOperator Type:

Not reportedOperator Name:

PrivateOwner Type:

Ritz Camera Centers IncOwner Name:

BELTSVILLE, MD 20705Mailing City,State,Zip:
6711 RITZ WAYMailing Address:

Not reportedState District:

Not reportedState District Owner:

Handler ActivitiesActive Site Indicator:

Not reportedAccessibility:

Not reportedBiennial Report Cycle:

Not reportedNon-Notifier:

Small Quantity GeneratorFederal Waste Generator Description:

PrivateLand Type:
09EPA Region:

Not reportedContact Title:

Not reportedContact Email:

Not reportedContact Fax:
301-419-0000Contact Telephone:

BELTSVILLE, MD 20705Contact City,State,Zip:
6711 RITZ WAYContact Address:

TOM KELLYContact Name:

CAD983646282EPA ID:

CUPERTINO, CA 95014Handler City,State,Zip:
10123 N Wolfe Rd Ste 2023Handler Address:

Kits Cameras One Hr No 51Handler Name:
19980324Date Form Received by Agency:

RCRA Listings:
1198 ft. Site 9 of 16 in cluster P

0.227 mi.

Relative:

Lower
Actual:
189 ft.

1/8-1/4 ECHOCUPERTINO, CA 95014
North FINDS10123 N WOLFE RD STE 2023 CAD983646282
P113 RCRA-SQGKITS CAMERAS ONE HR NO 51 1000818719
TC07984167.2r Page 576
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
NoCurrent Record:

NoSpent Lead Acid Battery Exporter:

NoSpent Lead Acid Battery Importer:

NoRecognized Trader Exporter:

NoRecognized Trader Importer:

NoLarge Quantity Handler of Universal Waste:

Not reportedState District Owner:

Small Quantity GeneratorFederal Waste Generator Description:

KITS CAMERAS ONE HR NO 51Handler Name:
19960418Receive Date:

Historic Generators:

Not reportedOwner/Operator Email:

Not reportedOwner/Operator Fax:

Not reportedOwner/Operator Telephone Ext:
301-419-0000Owner/Operator Telephone:

BELTSVILLE, MD 20705Owner/Operator City,State,Zip:
6711 RITZ WAYOwner/Operator Address:

Not reportedDate Ended Current:

Not reportedDate Became Current:

PrivateLegal Status:

RITZ CAMERA CENTERS INCOwner/Operator Name:

OwnerOwner/Operator Indicator:

Handler - Owner Operator:

SilverWaste Description:

D011Waste Code:

Corrosive WasteWaste Description:

D002Waste Code:

Hazardous Waste Summary:

NoSub-Part P Indicator:

NoManifest Broker:

NoRecycler Activity Without Storage:

NoExporter of Spent Lead Acid Batteries:

NoImporter of Spent Lead Acid Batteries:

NoRecognized Trader-Exporter:

NoRecognized Trader-Importer:
20021007Handler Date of Last Change:

Not reportedFinancial Assurance Required:

NoSignificant Non-Complier With a Compliance Schedule Universe:

NoAddressed Significant Non-Complier Universe:

NoUnaddressed Significant Non-Complier Universe:

NoSignificant Non-Complier Universe:

N/AGroundwater Controls Indicator:

N/AHuman Exposure Controls Indicator:

NoInstitutional Control Indicator:

NoEnvironmental Control Indicator:

No NCAPS rankingCorrective Action Priority Ranking:

NoNon-TSDFs Where RCRA CA has Been Imposed Universe:

NoSubject to Corrective Action Universe:

No202 GPRA Corrective Action Baseline:

Not on the Baseline2018 GPRA Renewals Baseline:

Not on the Baseline2018 GPRA Permit Baseline:

KITS CAMERAS ONE HR NO 51 (Continued) 1000818719
TC07984167.2r Page 577
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
CUPERTINO, CA 95014City,State,Zip:
10123 N WOLFE RD STE 2023Address:

KITS CAMERAS ONE HR NO 51Name:

DFR URL:
110009550164Registry ID:
1000818719Envid:

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:
110009550164Registry ID:

FINDS:

No Evaluations FoundEvaluations:

Evaluation Action Summary:

No Violations FoundViolations:

Facility Has Received Notices of Violations:

No NAICS Codes FoundNAICS Codes:

List of NAICS Codes and Descriptions:

Not reportedElectronic Manifest Broker:

Not reportedNon Storage Recycler Activity:

YesCurrent Record:

NoSpent Lead Acid Battery Exporter:

NoSpent Lead Acid Battery Importer:

NoRecognized Trader Exporter:

NoRecognized Trader Importer:

NoLarge Quantity Handler of Universal Waste:

Not reportedState District Owner:

Small Quantity GeneratorFederal Waste Generator Description:

KITS CAMERAS ONE HR NO 51Handler Name:
19980324Receive Date:

Not reportedElectronic Manifest Broker:

Not reportedNon Storage Recycler Activity:

KITS CAMERAS ONE HR NO 51 (Continued) 1000818719
TC07984167.2r Page 578
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
NoInstitutional Control Indicator:

NoEnvironmental Control Indicator:

No NCAPS rankingCorrective Action Priority Ranking:

NoNon-TSDFs Where RCRA CA has Been Imposed Universe:

NoSubject to Corrective Action Universe:

No202 GPRA Corrective Action Baseline:

Not on the Baseline2018 GPRA Renewals Baseline:

Not on the Baseline2018 GPRA Permit Baseline:

Not reportedSub-Part K Indicator:

NHazardous Secondary Material Indicator:

Not reportedFederal Facility Indicator:
---Active Site State-Reg Handler:

NoFederal Universal Waste:

NoUniversal Waste Destination Facility:

NoUniversal Waste Indicator:

NoOff-Site Waste Receipt:

NoUnderground Injection Control:

NoSmelting Melting and Refining Furnace Exemption:

NoSmall Quantity On-Site Burner Exemption:

NoRecycler Activity with Storage:

NoTransfer Facility Activity:

NoTransporter Activity:

NoMixed Waste Generator:

NoImporter Activity:

NoShort-Term Generator Activity:

OtherOperator Type:

Vallco Property Owner LlcOperator Name:

Not reportedOwner Type:

Not reportedOwner Name:

CUPERTINO, CA 95014Mailing City,State,Zip:
10123 N WOLFE RD STE 1095Mailing Address:

Not reportedState District:

Not reportedState District Owner:

Not reportedActive Site Indicator:

Not reportedAccessibility:

Not reportedBiennial Report Cycle:

Not reportedNon-Notifier:

Not a generator, verifiedFederal Waste Generator Description:

Not reportedLand Type:
09EPA Region:

Not reportedContact Title:

[email protected] Email:
408-725-0370Contact Fax:
408-750-4431Contact Telephone:

CUPERTINO, CA 95014Contact City,State,Zip:
10123 N WOLFE RD STE 1095Contact Address:

JUAN GUERREROContact Name:

CAL000405154EPA ID:

CUPERTINO, CA 95014Handler City,State,Zip:
10123 N Wolfe Rd Ste 1095Handler Address:

Vallco Shopping MallHandler Name:
20201008Date Form Received by Agency:

RCRA Listings:
1198 ft. Site 10 of 16 in cluster P

0.227 mi.

Relative:

Lower
Actual:
189 ft.

1/8-1/4
CUPERTINO, CA 95014
North E MANIFEST10123 N WOLFE RD STE 1095 CAL000405154
P114 RCRA NonGen / NLRVALLCO SHOPPING MALL 1024849027
TC07984167.2r Page 579
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
20150312Receive Date:

Historic Generators:

Not reportedOwner/Operator Email:

Not reportedOwner/Operator Fax:

Not reportedOwner/Operator Telephone Ext:
650-344-1500Owner/Operator Telephone:

MENLO PARK, CA 94025Owner/Operator City,State,Zip:
2882 SAND HILL RDOwner/Operator Address:

Not reportedDate Ended Current:

Not reportedDate Became Current:

OtherLegal Status:

VALLCO PROPERTY OWNER LLCOwner/Operator Name:

OperatorOwner/Operator Indicator:

Not reportedOwner/Operator Email:

Not reportedOwner/Operator Fax:

Not reportedOwner/Operator Telephone Ext:
408-627-3205Owner/Operator Telephone:

CUPERTINO, CA 95014Owner/Operator City,State,Zip:
10123 N WOLFE RD STE 1095Owner/Operator Address:

Not reportedDate Ended Current:

Not reportedDate Became Current:

OtherLegal Status:

JUAN GUERREROOwner/Operator Name:

OperatorOwner/Operator Indicator:

Not reportedOwner/Operator Email:

Not reportedOwner/Operator Fax:

Not reportedOwner/Operator Telephone Ext:
650-344-1500Owner/Operator Telephone:

MENLO PARK, CA 94025Owner/Operator City,State,Zip:
2882 SAND HILL RD STE 241Owner/Operator Address:

Not reportedDate Ended Current:

Not reportedDate Became Current:

OtherLegal Status:

VALLCO PROPERTY OWNER LLCOwner/Operator Name:

OwnerOwner/Operator Indicator:

Handler - Owner Operator:

NoSub-Part P Indicator:

NoManifest Broker:

NoRecycler Activity Without Storage:

NoExporter of Spent Lead Acid Batteries:

NoImporter of Spent Lead Acid Batteries:

NoRecognized Trader-Exporter:

NoRecognized Trader-Importer:
20201013Handler Date of Last Change:

Not reportedFinancial Assurance Required:

NoSignificant Non-Complier With a Compliance Schedule Universe:

NoAddressed Significant Non-Complier Universe:

NoUnaddressed Significant Non-Complier Universe:

NoSignificant Non-Complier Universe:

N/AGroundwater Controls Indicator:

N/AHuman Exposure Controls Indicator:

VALLCO SHOPPING MALL (Continued) 1024849027
TC07984167.2r Page 580
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Not reportedGenerator Mail Street 2:
10123 N WOLFE RD STE 1095Generator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
10123 N WOLFE RD STE 1095Generator Location Street 1:

Not reportedGenerator Location Street Number:

Vallco Shopping MallGenerator Name:

CAL000405154Generator EPA ID:

ServiceOrigin Type:

DataImage5CopySubmission Type:

CorrectedManifest Status:
20190114Received Date:
20190107Shipped Date:
20201123Last Updated Date:
019594853JJKManifest Tracking Number:

E MANIFEST:

No Evaluations FoundEvaluations:

Evaluation Action Summary:

No Violations FoundViolations:

Facility Has Received Notices of Violations:

All Other Waste Management ServicesNAICS Description:
56299NAICS Code:

List of NAICS Codes and Descriptions:

NoElectronic Manifest Broker:

NoNon Storage Recycler Activity:

YesCurrent Record:

NoSpent Lead Acid Battery Exporter:

NoSpent Lead Acid Battery Importer:

NoRecognized Trader Exporter:

NoRecognized Trader Importer:

NoLarge Quantity Handler of Universal Waste:

Not reportedState District Owner:

Not a generator, verifiedFederal Waste Generator Description:

VALLCO SHOPPING MALLHandler Name:
20201008Receive Date:

Not reportedElectronic Manifest Broker:

Not reportedNon Storage Recycler Activity:

NoCurrent Record:

NoSpent Lead Acid Battery Exporter:

NoSpent Lead Acid Battery Importer:

NoRecognized Trader Exporter:

NoRecognized Trader Importer:

NoLarge Quantity Handler of Universal Waste:

Not reportedState District Owner:

Not a generator, verifiedFederal Waste Generator Description:

VALLCO SHOPPING MALLHandler Name:

VALLCO SHOPPING MALL (Continued) 1024849027
TC07984167.2r Page 581
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
89003Designated Facility Location Zip:

BEATTYDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:

HWY 95 11 MI S OF BEATTYDesignated Facility Location Street 1:

Not reportedDesignated Facility Location Street Number:

NVDesignated Facility Mail State:
89003Designated Facility Mail Zip:

BEATTYDesignated Facility Mail City:

PO BOX 578Designated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:

Not reportedDesignated Facility Mail Street Number:

Us Ecology Nevada, IncDesignated Facility Name:

NVT330010000Designated Facility EPA ID:

Not reportedGenerator Contact Company Name:

CAGenerator Mail State:
95014Generator Mail Zip:

CUPERTINOGenerator Mail City:

Not reportedGenerator Mail Street 2:
10123 N WOLFE RD STE 1095Generator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
10123 N WOLFE RD STE 1095Generator Location Street 1:

Not reportedGenerator Location Street Number:

Vallco Shopping MallGenerator Name:

CAL000405154Generator EPA ID:

ServiceOrigin Type:

DataImage5CopySubmission Type:

CorrectedManifest Status:
20190114Received Date:
20190107Shipped Date:
20201123Last Updated Date:
019594853JJKManifest Tracking Number:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

NVDesignated Facility Location State:
89003Designated Facility Location Zip:

BEATTYDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:

HWY 95 11 MI S OF BEATTYDesignated Facility Location Street 1:

Not reportedDesignated Facility Location Street Number:

NVDesignated Facility Mail State:
89003Designated Facility Mail Zip:

BEATTYDesignated Facility Mail City:

PO BOX 578Designated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:

Not reportedDesignated Facility Mail Street Number:

Us Ecology Nevada, IncDesignated Facility Name:

NVT330010000Designated Facility EPA ID:

Not reportedGenerator Contact Company Name:

CAGenerator Mail State:
95014Generator Mail Zip:

CUPERTINOGenerator Mail City:

VALLCO SHOPPING MALL (Continued) 1024849027
TC07984167.2r Page 582
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Not reportedGenerator Location Street 2:
10123 N WOLFE RD STE 1095Generator Location Street 1:

Not reportedGenerator Location Street Number:

Vallco Shopping MallGenerator Name:

CAL000405154Generator EPA ID:

ServiceOrigin Type:

DataImage5CopySubmission Type:

SignedManifest Status:
20201212Received Date:
20201117Shipped Date:
20210101Last Updated Date:
014648870FLEManifest Tracking Number:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

NEDesignated Facility Location State:
69145Designated Facility Location Zip:

KimballDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:
2247 South Highway 71Designated Facility Location Street 1:

Not reportedDesignated Facility Location Street Number:

NEDesignated Facility Mail State:
69145Designated Facility Mail Zip:

KimballDesignated Facility Mail City:
2247 South Highway 71Designated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:

Not reportedDesignated Facility Mail Street Number:

Clean Harbors Environmental Services, Inc.Designated Facility Name:

NED981723513Designated Facility EPA ID:

VALLCO SHOPPING MALLGenerator Contact Company Name:

CAGenerator Mail State:
95014Generator Mail Zip:

CUPERTINOGenerator Mail City:

Not reportedGenerator Mail Street 2:
10123 N WOLFE RD STE 1095Generator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
10123 N WOLFE RD STE 1095Generator Location Street 1:

Not reportedGenerator Location Street Number:

Vallco Shopping MallGenerator Name:

CAL000405154Generator EPA ID:

ServiceOrigin Type:

DataImage5CopySubmission Type:

SignedManifest Status:
20201212Received Date:
20201117Shipped Date:
20210101Last Updated Date:
014648870FLEManifest Tracking Number:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

NVDesignated Facility Location State:

VALLCO SHOPPING MALL (Continued) 1024849027
TC07984167.2r Page 583
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
71730Designated Facility Mail Zip:

El DoradoDesignated Facility Mail City:
309 American CircleDesignated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:

Not reportedDesignated Facility Mail Street Number:

Clean Harbors El Dorado LlcDesignated Facility Name:

ARD069748192Designated Facility EPA ID:

VALLCO SHOPPING MALLGenerator Contact Company Name:

CAGenerator Mail State:
95014Generator Mail Zip:

CUPERTINOGenerator Mail City:

Not reportedGenerator Mail Street 2:
10123 N WOLFE RD STE 1095Generator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
10123 N WOLFE RD STE 1095Generator Location Street 1:

Not reportedGenerator Location Street Number:

Vallco Shopping MallGenerator Name:

CAL000405154Generator EPA ID:

ServiceOrigin Type:

DataImage5CopySubmission Type:

CorrectedManifest Status:
20210104Received Date:
20201117Shipped Date:
20210127Last Updated Date:
014648871FLEManifest Tracking Number:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

NEDesignated Facility Location State:
69145Designated Facility Location Zip:

KimballDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:
2247 South Highway 71Designated Facility Location Street 1:

Not reportedDesignated Facility Location Street Number:

NEDesignated Facility Mail State:
69145Designated Facility Mail Zip:

KimballDesignated Facility Mail City:
2247 South Highway 71Designated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:

Not reportedDesignated Facility Mail Street Number:

Clean Harbors Environmental Services, Inc.Designated Facility Name:

NED981723513Designated Facility EPA ID:

VALLCO SHOPPING MALLGenerator Contact Company Name:

CAGenerator Mail State:
95014Generator Mail Zip:

CUPERTINOGenerator Mail City:

Not reportedGenerator Mail Street 2:
10123 N WOLFE RD STE 1095Generator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

VALLCO SHOPPING MALL (Continued) 1024849027
TC07984167.2r Page 584
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
DataImage5CopySubmission Type:

SignedManifest Status:
20201124Received Date:
20201117Shipped Date:
20210310Last Updated Date:
014648874FLEManifest Tracking Number:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

ARDesignated Facility Location State:
71730Designated Facility Location Zip:

El DoradoDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:
309 American CircleDesignated Facility Location Street 1:

Not reportedDesignated Facility Location Street Number:

ARDesignated Facility Mail State:
71730Designated Facility Mail Zip:

El DoradoDesignated Facility Mail City:
309 American CircleDesignated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:

Not reportedDesignated Facility Mail Street Number:

Clean Harbors El Dorado LlcDesignated Facility Name:

ARD069748192Designated Facility EPA ID:

VALLCO SHOPPING MALLGenerator Contact Company Name:

CAGenerator Mail State:
95014Generator Mail Zip:

CUPERTINOGenerator Mail City:

Not reportedGenerator Mail Street 2:
10123 N WOLFE RD STE 1095Generator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
10123 N WOLFE RD STE 1095Generator Location Street 1:

Not reportedGenerator Location Street Number:

Vallco Shopping MallGenerator Name:

CAL000405154Generator EPA ID:

ServiceOrigin Type:

DataImage5CopySubmission Type:

CorrectedManifest Status:
20210104Received Date:
20201117Shipped Date:
20210127Last Updated Date:
014648871FLEManifest Tracking Number:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

ARDesignated Facility Location State:
71730Designated Facility Location Zip:

El DoradoDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:
309 American CircleDesignated Facility Location Street 1:

Not reportedDesignated Facility Location Street Number:

ARDesignated Facility Mail State:

VALLCO SHOPPING MALL (Continued) 1024849027
TC07984167.2r Page 585
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
NVT330010000Designated Facility EPA ID:

Not reportedGenerator Contact Company Name:

CAGenerator Mail State:
95014Generator Mail Zip:

CUPERTINOGenerator Mail City:

Not reportedGenerator Mail Street 2:
10123 N WOLFE RD STE 1095Generator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
10123 N WOLFE RD STE 1095Generator Location Street 1:

Not reportedGenerator Location Street Number:

Vallco Shopping MallGenerator Name:

Not reportedGenerator EPA ID:

ServiceOrigin Type:

DataImage5CopySubmission Type:

SignedManifest Status:
20201124Received Date:
20201117Shipped Date:
20210310Last Updated Date:
014648874FLEManifest Tracking Number:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

NVDesignated Facility Location State:
89003Designated Facility Location Zip:

BEATTYDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:

HWY 95 11 MILES S. OF BEATTYDesignated Facility Location Street 1:

Not reportedDesignated Facility Location Street Number:

NVDesignated Facility Mail State:
89003Designated Facility Mail Zip:

BEATTYDesignated Facility Mail City:

HWY 95 11 MILES S. OF BEATTYDesignated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:

Not reportedDesignated Facility Mail Street Number:

Us Ecology Nevada, Inc.Designated Facility Name:

NVT330010000Designated Facility EPA ID:

Not reportedGenerator Contact Company Name:

CAGenerator Mail State:
95014Generator Mail Zip:

CUPERTINOGenerator Mail City:

Not reportedGenerator Mail Street 2:
10123 N WOLFE RD STE 1095Generator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
10123 N WOLFE RD STE 1095Generator Location Street 1:

Not reportedGenerator Location Street Number:

Vallco Shopping MallGenerator Name:

Not reportedGenerator EPA ID:

ServiceOrigin Type:

VALLCO SHOPPING MALL (Continued) 1024849027
TC07984167.2r Page 586
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Not reportedWaste Minimization Code Description:

Not reportedWaste Minimization Code:

Not reportedSource Code Description:

Not reportedSource Code:

Not reportedForm Code Description:

Not reportedForm Code:

Not reportedWaste Density Unit of Measure Description:

Not reportedWaste Density Unit of Measure Code:

Not reportedWaste Density:

NWaste Type Discrepancy Indicator:

NQuantity Discrepancy Indicator:

NWaste Residue Indicator:

OTHER RECOVERY OR RECLAMATION FOR REUSEManagement Method Description:

H039Management Method Code:
362.812Non-Acute Waste Quantity, in Kilorgrams:
0Acute Waste Quantity, in Kilograms:
362.812Waste Quantity, in Kilograms:

0.4Non-Acute Waste Quantity, in Tons:
0Acute Waste Quantity, in Tons:

0.4Waste Quantity, in Tons:

PoundsQuantity Unit of Measure Description:

PQuantity Unit of Measure Code:
800Waste Quantity:

Metal drums, barrels, kegsContainer Type Description:

DMContainer Type Code:
3Number of Containers:

Cutting WaterNon-Hazardous Waste Description:

Not reportedU.S. DOT Description:

Not reportedU.S. DOT ID Number:

NU.S. DOT Hazardous Indicator:
1Waste Line Number:
014648874FLEManifest Tracking Number:

Waste Line:

All Clean Hazardous Waste Removal IncTransporter Name:

CAD982492399Transporter EPA ID:
1Transporter Line Number:
014648874FLEManifest Tracking Number:

Transporter:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

NVDesignated Facility Location State:
89003Designated Facility Location Zip:

BEATTYDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:

HWY 95 11 MILES S. OF BEATTYDesignated Facility Location Street 1:

Not reportedDesignated Facility Location Street Number:

NVDesignated Facility Mail State:
89003Designated Facility Mail Zip:

BEATTYDesignated Facility Mail City:

HWY 95 11 MILES S. OF BEATTYDesignated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:

Not reportedDesignated Facility Mail Street Number:

Us Ecology Nevada, Inc.Designated Facility Name:

VALLCO SHOPPING MALL (Continued) 1024849027
TC07984167.2r Page 587
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
CA-352State Waste Codes:

0.15Quantity Non Haz Tons:
136.0545Quantity Non Haz Kg:
0Quantity Haz Tons:
0Quantity Haz Kg:

Not reportedFederal Waste Codes:

NEPA Waste Indicator:

Not reportedConsent Number:

Not reportedWaste Minimization Code Description:

Not reportedWaste Minimization Code:

Not reportedSource Code Description:

Not reportedSource Code:

Not reportedForm Code Description:

Not reportedForm Code:

Not reportedWaste Density Unit of Measure Description:

Not reportedWaste Density Unit of Measure Code:

Not reportedWaste Density:

NWaste Type Discrepancy Indicator:

NQuantity Discrepancy Indicator:

NWaste Residue Indicator:

LANDFILL (WITH PRIOR TREATMENT AND/OR STABILIZATION)Management Method Description:

H132Management Method Code:
136.0545Non-Acute Waste Quantity, in Kilorgrams:
0Acute Waste Quantity, in Kilograms:
136.0545Waste Quantity, in Kilograms:

0.15Non-Acute Waste Quantity, in Tons:
0Acute Waste Quantity, in Tons:

0.15Waste Quantity, in Tons:

PoundsQuantity Unit of Measure Description:

PQuantity Unit of Measure Code:
300Waste Quantity:

Fiberboard or plastic drums, barrels, kegsContainer Type Description:

DFContainer Type Code:
1Number of Containers:

Solid DebrisNon-Hazardous Waste Description:

Not reportedU.S. DOT Description:

Not reportedU.S. DOT ID Number:

NU.S. DOT Hazardous Indicator:
2Waste Line Number:
014648874FLEManifest Tracking Number:

CA-135State Waste Codes:

0.4Quantity Non Haz Tons:
362.812Quantity Non Haz Kg:
0Quantity Haz Tons:
0Quantity Haz Kg:

Not reportedFederal Waste Codes:

NEPA Waste Indicator:

Not reportedConsent Number:

VALLCO SHOPPING MALL (Continued) 1024849027
TC07984167.2r Page 588
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
NoInstitutional Control Indicator:

NoEnvironmental Control Indicator:

No NCAPS rankingCorrective Action Priority Ranking:

NoNon-TSDFs Where RCRA CA has Been Imposed Universe:

NoSubject to Corrective Action Universe:

No202 GPRA Corrective Action Baseline:

Not on the Baseline2018 GPRA Renewals Baseline:

Not on the Baseline2018 GPRA Permit Baseline:

Not reportedSub-Part K Indicator:

NHazardous Secondary Material Indicator:

Not reportedFederal Facility Indicator:
---Active Site State-Reg Handler:

NoFederal Universal Waste:

NoUniversal Waste Destination Facility:

NoUniversal Waste Indicator:

NoOff-Site Waste Receipt:

NoUnderground Injection Control:

NoSmelting Melting and Refining Furnace Exemption:

NoSmall Quantity On-Site Burner Exemption:

NoRecycler Activity with Storage:

NoTransfer Facility Activity:

NoTransporter Activity:

NoMixed Waste Generator:

NoImporter Activity:

NoShort-Term Generator Activity:

OtherOperator Type:

Steve MccarttOperator Name:

OtherOwner Type:

Vallco Property Owner, LlcOwner Name:

PALO ALTO, CA 94306Mailing City,State,Zip:
2600 EL CAMINO REALMailing Address:

Not reportedState District:

Not reportedState District Owner:

Not reportedActive Site Indicator:

Not reportedAccessibility:

Not reportedBiennial Report Cycle:

Not reportedNon-Notifier:

Not a generator, verifiedFederal Waste Generator Description:

Not reportedLand Type:
09EPA Region:

Not reportedContact Title:

[email protected] Email:

Not reportedContact Fax:
415-518-7568Contact Telephone:

PALO ALTO, CA 94306Contact City,State,Zip:
2600 EL CAMINO REALContact Address:

STEVE MCCARTTContact Name:

CAC003232625EPA ID:

CUPERTINO, CA 95014Handler City,State,Zip:
10123 N. Wolfe RoadHandler Address:

Vallco Property Owner, LlcHandler Name:
20230516Date Form Received by Agency:

RCRA Listings:
1198 ft. Site 11 of 16 in cluster P

0.227 mi.

Relative:

Lower
Actual:
189 ft.

1/8-1/4
CUPERTINO, CA 95014
North E MANIFEST10123 N. WOLFE ROAD CAC003232625
P115 RCRA NonGen / NLRVALLCO PROPERTY OWNER, LLC 1024777663 TC07984167.2r Page 589
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
NoElectronic Manifest Broker:

NoNon Storage Recycler Activity:

YesCurrent Record:

NoSpent Lead Acid Battery Exporter:

NoSpent Lead Acid Battery Importer:

NoRecognized Trader Exporter:

NoRecognized Trader Importer:

NoLarge Quantity Handler of Universal Waste:

Not reportedState District Owner:

Not a generator, verifiedFederal Waste Generator Description:

VALLCO PROPERTY OWNER, LLCHandler Name:
20230516Receive Date:

Historic Generators:

Not reportedOwner/Operator Email:

Not reportedOwner/Operator Fax:

Not reportedOwner/Operator Telephone Ext:
415-518-7568Owner/Operator Telephone:

PALO ALTO, CA 94306Owner/Operator City,State,Zip:
2600 EL CAMINO REALOwner/Operator Address:

Not reportedDate Ended Current:

Not reportedDate Became Current:

OtherLegal Status:

STEVE MCCARTTOwner/Operator Name:

OperatorOwner/Operator Indicator:

Not reportedOwner/Operator Email:

Not reportedOwner/Operator Fax:

Not reportedOwner/Operator Telephone Ext:
650-344-1500Owner/Operator Telephone:

PALO ALTO, CA 94306Owner/Operator City,State,Zip:
2600 EL CAMINO REALOwner/Operator Address:

Not reportedDate Ended Current:

Not reportedDate Became Current:

OtherLegal Status:

VALLCO PROPERTY OWNER, LLCOwner/Operator Name:

OwnerOwner/Operator Indicator:

Handler - Owner Operator:

NoSub-Part P Indicator:

NoManifest Broker:

NoRecycler Activity Without Storage:

NoExporter of Spent Lead Acid Batteries:

NoImporter of Spent Lead Acid Batteries:

NoRecognized Trader-Exporter:

NoRecognized Trader-Importer:
20230517Handler Date of Last Change:

Not reportedFinancial Assurance Required:

NoSignificant Non-Complier With a Compliance Schedule Universe:

NoAddressed Significant Non-Complier Universe:

NoUnaddressed Significant Non-Complier Universe:

NoSignificant Non-Complier Universe:

N/AGroundwater Controls Indicator:

N/AHuman Exposure Controls Indicator:

VALLCO PROPERTY OWNER, LLC (Continued) 1024777663
TC07984167.2r Page 590
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
20200327Shipped Date:
20200406Last Updated Date:
019917492JJKManifest Tracking Number:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

CADesignated Facility Location State:
95687-0000Designated Facility Location Zip:

VACAVILLEDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:
6426 HAY RDDesignated Facility Location Street 1:

Not reportedDesignated Facility Location Street Number:

CADesignated Facility Mail State:
95620Designated Facility Mail Zip:

DIXONDesignated Facility Mail City:
235 N FIRST STDesignated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:

Not reportedDesignated Facility Mail Street Number:

Recology Hay RoadDesignated Facility Name:

CAD982042475Designated Facility EPA ID:

Not reportedGenerator Contact Company Name:

CAGenerator Mail State:
94304Generator Mail Zip:

PALO ALTOGenerator Mail City:

Not reportedGenerator Mail Street 2:
965 PAGE MILL ROADGenerator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
10123 N. WOLFE ROADGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Vallco Property Owner, LlcGenerator Name:

CAC002997606Generator EPA ID:

MailOrigin Type:

DataImage5CopySubmission Type:

SignedManifest Status:
20190213Received Date:
20190213Shipped Date:
20190807Last Updated Date:
013347263JJKManifest Tracking Number:

E MANIFEST:

No Evaluations FoundEvaluations:

Evaluation Action Summary:

No Violations FoundViolations:

Facility Has Received Notices of Violations:

Commercial And Institutional Building ConstructionNAICS Description:
236220NAICS Code:

List of NAICS Codes and Descriptions:

VALLCO PROPERTY OWNER, LLC (Continued) 1024777663
TC07984167.2r Page 591
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
94304Generator Mail Zip:

PALO ALTOGenerator Mail City:

Not reportedGenerator Mail Street 2:
965 PAGE MILL RDGenerator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
10123 N WOLFE RDGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Vallco Property Owner LlcGenerator Name:

CAC002997606Generator EPA ID:

ServiceOrigin Type:

DataImage5CopySubmission Type:

CorrectedManifest Status:
20190318Received Date:
20190304Shipped Date:
20190830Last Updated Date:
000007148GBFManifest Tracking Number:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

NVDesignated Facility Location State:
89003Designated Facility Location Zip:

BEATTYDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:

HWY 95 11 MI S OF BEATTYDesignated Facility Location Street 1:

Not reportedDesignated Facility Location Street Number:

NVDesignated Facility Mail State:
89003Designated Facility Mail Zip:

BEATTYDesignated Facility Mail City:

PO BOX 578Designated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:

Not reportedDesignated Facility Mail Street Number:

Us Ecology Nevada, IncDesignated Facility Name:

NVT330010000Designated Facility EPA ID:

Not reportedGenerator Contact Company Name:

CAGenerator Mail State:
94304-1013Generator Mail Zip:

PALO ALTOGenerator Mail City:

Not reportedGenerator Mail Street 2:
965 PAGE MILL RDGenerator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
10123 N WOLFE RDGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Vallco Property Owner LlcGenerator Name:

CAC003057272Generator EPA ID:

ServiceOrigin Type:

DataImage5CopySubmission Type:

SignedManifest Status:
20200331Received Date:

VALLCO PROPERTY OWNER, LLC (Continued) 1024777663
TC07984167.2r Page 592
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Metal drums, barrels, kegsContainer Type Description:

DMContainer Type Code:
9Number of Containers:

Not reportedNon-Hazardous Waste Description:

Na2212, Asbestos, 9, Pg IiiU.S. DOT Description:

NA2212U.S. DOT ID Number:

YU.S. DOT Hazardous Indicator:
1Waste Line Number:
000007148GBFManifest Tracking Number:

Waste Line:

Clean Harbors Environmental Services, Inc.Transporter Name:

MAD039322250Transporter EPA ID:
5Transporter Line Number:
000007148GBFManifest Tracking Number:

Clean Harbors Environmental Services, Inc.Transporter Name:

MAD039322250Transporter EPA ID:
4Transporter Line Number:
000007148GBFManifest Tracking Number:

Clean Harbors Environmental Services, Inc.Transporter Name:

MAD039322250Transporter EPA ID:
3Transporter Line Number:
000007148GBFManifest Tracking Number:

Clean Harbors Environmental Services, Inc.Transporter Name:

MAD039322250Transporter EPA ID:
2Transporter Line Number:
000007148GBFManifest Tracking Number:

World Environmental & EnergyTransporter Name:

CAR000037283Transporter EPA ID:
1Transporter Line Number:
000007148GBFManifest Tracking Number:

Transporter:

NRejection Indicator:

NManifest Residue Indicator:

Clean Harbors Buttonwillow LlcDesignated Facility Contact Company Name:

CADesignated Facility Location State:
93206Designated Facility Location Zip:

ButtonwillowDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:

PO Box 787Designated Facility Location Street 1:

Not reportedDesignated Facility Location Street Number:

CADesignated Facility Mail State:
93206Designated Facility Mail Zip:

ButtonwillowDesignated Facility Mail City:

PO Box 787Designated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:

Not reportedDesignated Facility Mail Street Number:

Not reportedDesignated Facility Name:

CAD980675276Designated Facility EPA ID:

Not reportedGenerator Contact Company Name:

CAGenerator Mail State:

VALLCO PROPERTY OWNER, LLC (Continued) 1024777663
TC07984167.2r Page 593
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
CA-151State Waste Codes:
840Quantity Non Haz Tons:
761905.25Quantity Non Haz Kg:
0Quantity Haz Tons:
0Quantity Haz Kg:

Not reportedFederal Waste Codes:

NEPA Waste Indicator:

Not reportedConsent Number:

Not reportedWaste Minimization Code Description:

Not reportedWaste Minimization Code:

Not reportedSource Code Description:

Not reportedSource Code:

Not reportedForm Code Description:

Not reportedForm Code:

Not reportedWaste Density Unit of Measure Description:

Not reportedWaste Density Unit of Measure Code:

Not reportedWaste Density:

NWaste Type Discrepancy Indicator:

NQuantity Discrepancy Indicator:

NWaste Residue Indicator:

LANDFILL (WITH PRIOR TREATMENT AND/OR STABILIZATION)Management Method Description:

H132Management Method Code:
761905.25Non-Acute Waste Quantity, in Kilorgrams:
0Acute Waste Quantity, in Kilograms:
761905.25Waste Quantity, in Kilograms:
840Non-Acute Waste Quantity, in Tons:
0Acute Waste Quantity, in Tons:
840Waste Quantity, in Tons:

Cubic YardsQuantity Unit of Measure Description:

YQuantity Unit of Measure Code:
1000Waste Quantity:

VALLCO PROPERTY OWNER, LLC (Continued) 1024777663
Trichloroethylene (TCE), Polychlorinated biphenyls (PCBs), Other Other Chlorinated Hydrocarbons, Tetrachloroethylene (PCE),Potential Contaminants of Concern:

Contaminated Surface / Structure, Indoor Air, Soil VaporPotential Media Affected:

All Files are on GeoTracker or in the Local Agency DatabaseFile Location:

Not reportedRB Case Number:

SANTA CLARA COUNTY LOPLocal Agency:

SMCase Worker:

Cleanup Program SiteCase Type:
-122.01564Longitude:

37.32546Latitude:
2021-16sLead Agency Case Number:

SANTA CLARA COUNTY LOPLead Agency:

T10000017167Global Id:
11/15/2022Status Date:

Open - RemediationFacility Status:

STATERegion:

CUPERTINO, CA 95014City,State,Zip:
10123 NORTH WOLFE ROADAddress:

VALLCO TOWN CENTERName:

CPS-SLIC:
1198 ft. Site 12 of 16 in cluster P

0.227 mi.

Relative:

Lower
Actual:
189 ft.

1/8-1/4 CUPERTINO, CA 95014
North HWTS10123 N WOLFE RD N/A
P116 CPS-SLICICE CAPADES CHALET S124538227
TC07984167.2r Page 594
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation

37.32456Latitude:

STATECategory:

TEMPORARYFacility Type:

InactiveFacility Status:

Not reportedContact Fax:

Not reportedContact Phone:

CUPERTINO, CA 950142509City,State,Zip:

Not reportedContact Address 2:
10123 N WOLFE RDContact Address:

CHARLES JONESContact Name:

Not reportedOwner Fax:

Not reportedOwner Phone:

CUPERTINO, CA 950142509Owner City,State,Zip:

Not reportedOwner Address 2:
10123 N WOLFE RDOwner Address:

ICE CAPADES CHALETOwner Name:

CUPERTINO, CA 950142509Mailing City,State,Zip:

Not reportedMailing Address 2:
10123 N WOLFE RDMailing Address:

Not reportedMailing Name:

Not reportedLast Act Date:
09/21/1993Create Date:
10/25/2000Inactive Date:

CAC000712288EPA ID:

CUPERTINO, CA 95014City,State,Zip:

Not reportedAddress 2:
10123 N WOLFE RDAddress:

ICE CAPADES CHALETName:

HWTS:

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

Not reportedSite History:

Not reportedClaim Status:

Not reportedClaim No:

SAN FRANCISCO BAY RWQCB (REGION 2)RWQCB Region:

Not reportedFacility Project Subtype:

NoMilitary DOD Site:
15-20%CA Enviroscreen 4 Score:
11-15%CA Enviroscreen 3 Score:

Not reportedDisadvantaged Community:

Santa Clara Valley - Santa Clara (2-009.02)Dwr Groundwater Subbasin Name:

Santa Clara - Palo Alto (205.50)CA Water Watershed Name:

Not reportedNo Further Action Date:

Not reportedStop Description:

Not reportedStop Method:

Not reportedDischarge Cause:

Not reportedDischarge Source:

Not reportedHow Discovered Description:

Not reportedHow Discovered:

Not reportedLeak Reported Date:
04/15/2021Begin Date:

Not reportedQuantity Released Gallons:

Not reportedCoordinate Source:
9EPA Region:

Diesel
Insecticides / Pesticide / Fumigants / Herbicides, Lead, Benzene, ICE CAPADES CHALET (Continued) S124538227
TC07984167.2r Page 595
MAP FINDINGSMap ID
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EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
-122.014326Longitude:

ICE CAPADES CHALET (Continued) S124538227
NoNon-TSDFs Where RCRA CA has Been Imposed Universe:

NoSubject to Corrective Action Universe:

No202 GPRA Corrective Action Baseline:

Not on the Baseline2018 GPRA Renewals Baseline:

Not on the Baseline2018 GPRA Permit Baseline:

Not reportedSub-Part K Indicator:

NHazardous Secondary Material Indicator:

Not reportedFederal Facility Indicator:
---Active Site State-Reg Handler:

NoFederal Universal Waste:

NoUniversal Waste Destination Facility:

NoUniversal Waste Indicator:

NoOff-Site Waste Receipt:

NoUnderground Injection Control:

NoSmelting Melting and Refining Furnace Exemption:

NoSmall Quantity On-Site Burner Exemption:

NoRecycler Activity with Storage:

NoTransfer Facility Activity:

NoTransporter Activity:

NoMixed Waste Generator:

NoImporter Activity:

NoShort-Term Generator Activity:

OtherOperator Type:

Paul HansenOperator Name:

OtherOwner Type:

Vallco Property Owner LlcOwner Name:

PALO ALTO, CA 94304-1013Mailing City,State,Zip:
965 PAGE MILL RDMailing Address:

Not reportedState District:

Not reportedState District Owner:

Not reportedActive Site Indicator:

Not reportedAccessibility:

Not reportedBiennial Report Cycle:

Not reportedNon-Notifier:

Not a generator, verifiedFederal Waste Generator Description:

Not reportedLand Type:
09EPA Region:

Not reportedContact Title:

[email protected] Email:

Not reportedContact Fax:
408-442-2121Contact Telephone:

PALO ALTO, CA 94304-1013Contact City,State,Zip:
965 PAGE MILL RDContact Address:

PAUL HANSENContact Name:

CAC003057272EPA ID:

CUPERTINO, CA 95014Handler City,State,Zip:
10123 N Wolfe RdHandler Address:

Vallco Property Owner LlcHandler Name:
20200224Date Form Received by Agency:

RCRA Listings:
1198 ft. Site 13 of 16 in cluster P

0.227 mi.

Relative:

Lower
Actual:
189 ft.

1/8-1/4 CUPERTINO, CA 95014
North E MANIFEST10123 N WOLFE RD CAC003057272
P117 RCRA NonGen / NLRVALLCO PROPERTY OWNER LLC 1026050439 TC07984167.2r Page 596
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
YesCurrent Record:

NoSpent Lead Acid Battery Exporter:

NoSpent Lead Acid Battery Importer:

NoRecognized Trader Exporter:

NoRecognized Trader Importer:

NoLarge Quantity Handler of Universal Waste:

Not reportedState District Owner:

Not a generator, verifiedFederal Waste Generator Description:

VALLCO PROPERTY OWNER LLCHandler Name:
20200224Receive Date:

Historic Generators:

Not reportedOwner/Operator Email:

Not reportedOwner/Operator Fax:

Not reportedOwner/Operator Telephone Ext:
650-344-1500Owner/Operator Telephone:

PALO ALTO, CA 94304-1013Owner/Operator City,State,Zip:
965 PAGE MILL RDOwner/Operator Address:

Not reportedDate Ended Current:

Not reportedDate Became Current:

OtherLegal Status:

VALLCO PROPERTY OWNER LLCOwner/Operator Name:

OwnerOwner/Operator Indicator:

Not reportedOwner/Operator Email:

Not reportedOwner/Operator Fax:

Not reportedOwner/Operator Telephone Ext:
408-442-2121Owner/Operator Telephone:

PALO ALTO, CA 94304-1013Owner/Operator City,State,Zip:
965 PAGE MILL RDOwner/Operator Address:

Not reportedDate Ended Current:

Not reportedDate Became Current:

OtherLegal Status:

PAUL HANSENOwner/Operator Name:

OperatorOwner/Operator Indicator:

Handler - Owner Operator:

NoSub-Part P Indicator:

NoManifest Broker:

NoRecycler Activity Without Storage:

NoExporter of Spent Lead Acid Batteries:

NoImporter of Spent Lead Acid Batteries:

NoRecognized Trader-Exporter:

NoRecognized Trader-Importer:
20200306Handler Date of Last Change:

Not reportedFinancial Assurance Required:

NoSignificant Non-Complier With a Compliance Schedule Universe:

NoAddressed Significant Non-Complier Universe:

NoUnaddressed Significant Non-Complier Universe:

NoSignificant Non-Complier Universe:

N/AGroundwater Controls Indicator:

N/AHuman Exposure Controls Indicator:

NoInstitutional Control Indicator:

NoEnvironmental Control Indicator:

No NCAPS rankingCorrective Action Priority Ranking:

VALLCO PROPERTY OWNER LLC (Continued) 1026050439
TC07984167.2r Page 597
MAP FINDINGSMap ID
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EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

NVDesignated Facility Location State:
89003Designated Facility Location Zip:

BEATTYDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:

HWY 95 11 MI S OF BEATTYDesignated Facility Location Street 1:

Not reportedDesignated Facility Location Street Number:

NVDesignated Facility Mail State:
89003Designated Facility Mail Zip:

BEATTYDesignated Facility Mail City:

PO BOX 578Designated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:

Not reportedDesignated Facility Mail Street Number:

Us Ecology Nevada, IncDesignated Facility Name:

NVT330010000Designated Facility EPA ID:

Not reportedGenerator Contact Company Name:

CAGenerator Mail State:
94304-1013Generator Mail Zip:

PALO ALTOGenerator Mail City:

Not reportedGenerator Mail Street 2:
965 PAGE MILL RDGenerator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
10123 N WOLFE RDGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Vallco Property Owner LlcGenerator Name:

CAC003057272Generator EPA ID:

ServiceOrigin Type:

DataImage5CopySubmission Type:

SignedManifest Status:
20200331Received Date:
20200327Shipped Date:
20200406Last Updated Date:
019917492JJKManifest Tracking Number:

E MANIFEST:

No Evaluations FoundEvaluations:

Evaluation Action Summary:

No Violations FoundViolations:

Facility Has Received Notices of Violations:

Land SubdivisionNAICS Description:
237210NAICS Code:

List of NAICS Codes and Descriptions:

Not reportedElectronic Manifest Broker:

Not reportedNon Storage Recycler Activity:

VALLCO PROPERTY OWNER LLC (Continued) 1026050439
TC07984167.2r Page 598
MAP FINDINGSMap ID
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EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
000007148GBFManifest Tracking Number:

Clean Harbors Environmental Services, Inc.Transporter Name:

MAD039322250Transporter EPA ID:
3Transporter Line Number:
000007148GBFManifest Tracking Number:

Clean Harbors Environmental Services, Inc.Transporter Name:

MAD039322250Transporter EPA ID:
2Transporter Line Number:
000007148GBFManifest Tracking Number:

World Environmental & EnergyTransporter Name:

CAR000037283Transporter EPA ID:
1Transporter Line Number:
000007148GBFManifest Tracking Number:

Transporter:

NRejection Indicator:

NManifest Residue Indicator:

Clean Harbors Buttonwillow LlcDesignated Facility Contact Company Name:

CADesignated Facility Location State:
93206Designated Facility Location Zip:

ButtonwillowDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:

PO Box 787Designated Facility Location Street 1:

Not reportedDesignated Facility Location Street Number:

CADesignated Facility Mail State:
93206Designated Facility Mail Zip:

ButtonwillowDesignated Facility Mail City:

PO Box 787Designated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:

Not reportedDesignated Facility Mail Street Number:

Not reportedDesignated Facility Name:

CAD980675276Designated Facility EPA ID:

Not reportedGenerator Contact Company Name:

CAGenerator Mail State:
94304Generator Mail Zip:

PALO ALTOGenerator Mail City:

Not reportedGenerator Mail Street 2:
965 PAGE MILL RDGenerator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
10123 N WOLFE RDGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Vallco Property Owner LlcGenerator Name:

CAC002997606Generator EPA ID:

ServiceOrigin Type:

DataImage5CopySubmission Type:

CorrectedManifest Status:
20190318Received Date:
20190304Shipped Date:
20190830Last Updated Date:
000007148GBFManifest Tracking Number:

VALLCO PROPERTY OWNER LLC (Continued) 1026050439
TC07984167.2r Page 599
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
CA-151State Waste Codes:
840Quantity Non Haz Tons:
761905.25Quantity Non Haz Kg:
0Quantity Haz Tons:
0Quantity Haz Kg:

Not reportedFederal Waste Codes:

NEPA Waste Indicator:

Not reportedConsent Number:

Not reportedWaste Minimization Code Description:

Not reportedWaste Minimization Code:

Not reportedSource Code Description:

Not reportedSource Code:

Not reportedForm Code Description:

Not reportedForm Code:

Not reportedWaste Density Unit of Measure Description:

Not reportedWaste Density Unit of Measure Code:

Not reportedWaste Density:

NWaste Type Discrepancy Indicator:

NQuantity Discrepancy Indicator:

NWaste Residue Indicator:

LANDFILL (WITH PRIOR TREATMENT AND/OR STABILIZATION)Management Method Description:

H132Management Method Code:
761905.25Non-Acute Waste Quantity, in Kilorgrams:
0Acute Waste Quantity, in Kilograms:
761905.25Waste Quantity, in Kilograms:
840Non-Acute Waste Quantity, in Tons:
0Acute Waste Quantity, in Tons:
840Waste Quantity, in Tons:

Cubic YardsQuantity Unit of Measure Description:

YQuantity Unit of Measure Code:
1000Waste Quantity:

Metal drums, barrels, kegsContainer Type Description:

DMContainer Type Code:
9Number of Containers:

Not reportedNon-Hazardous Waste Description:

Na2212, Asbestos, 9, Pg IiiU.S. DOT Description:

NA2212U.S. DOT ID Number:

YU.S. DOT Hazardous Indicator:
1Waste Line Number:
000007148GBFManifest Tracking Number:

Waste Line:

Clean Harbors Environmental Services, Inc.Transporter Name:

MAD039322250Transporter EPA ID:
5Transporter Line Number:
000007148GBFManifest Tracking Number:

Clean Harbors Environmental Services, Inc.Transporter Name:

MAD039322250Transporter EPA ID:
4Transporter Line Number:

VALLCO PROPERTY OWNER LLC (Continued) 1026050439
TC07984167.2r Page 600
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
NoInstitutional Control Indicator:

NoEnvironmental Control Indicator:

No NCAPS rankingCorrective Action Priority Ranking:

NoNon-TSDFs Where RCRA CA has Been Imposed Universe:

NoSubject to Corrective Action Universe:

No202 GPRA Corrective Action Baseline:

Not on the Baseline2018 GPRA Renewals Baseline:

Not on the Baseline2018 GPRA Permit Baseline:

Not reportedSub-Part K Indicator:

NHazardous Secondary Material Indicator:

Not reportedFederal Facility Indicator:
---Active Site State-Reg Handler:

NoFederal Universal Waste:

NoUniversal Waste Destination Facility:

NoUniversal Waste Indicator:

NoOff-Site Waste Receipt:

NoUnderground Injection Control:

NoSmelting Melting and Refining Furnace Exemption:

NoSmall Quantity On-Site Burner Exemption:

NoRecycler Activity with Storage:

NoTransfer Facility Activity:

NoTransporter Activity:

NoMixed Waste Generator:

NoImporter Activity:

NoShort-Term Generator Activity:

Not reportedOperator Type:

Not reportedOperator Name:

PrivateOwner Type:

Richard E Jacobs GroupOwner Name:

CUPERTINO, CA 95014Mailing City,State,Zip:
10123 N WOLFE RD STE 2030Mailing Address:

Not reportedState District:

Not reportedState District Owner:

Handler ActivitiesActive Site Indicator:

Not reportedAccessibility:

Not reportedBiennial Report Cycle:

Not reportedNon-Notifier:

Small Quantity GeneratorFederal Waste Generator Description:

PrivateLand Type:
09EPA Region:

Not reportedContact Title:

Not reportedContact Email:

Not reportedContact Fax:
408-255-5660Contact Telephone:

CUPERTINO, CA 95014Contact City,State,Zip:
10123 N WOLFE RD STE 2030Contact Address:

JIM BRANDOWContact Name:

CAR000038307EPA ID:

CUPERTINO, CA 95014Handler City,State,Zip:
10123 N Wolfe Rd Ste 2030Handler Address:

Vallco Fashion ParkHandler Name:
19980407Date Form Received by Agency:

RCRA Listings:
1198 ft. Site 14 of 16 in cluster P

0.227 mi. HAZNET
Relative:

Lower
Actual:
189 ft.

1/8-1/4 HWTSCUPERTINO, CA 95014
North FINDS10123 N WOLFE RD STE 2030 CAR000038307
P118 RCRA-SQGVALLCO FASHION PARK 1001217622
TC07984167.2r Page 601
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Handler - Owner Operator:

These Spent Solvents And Spent Solvent Mixtures.

Listed In F001, F002, Or F004; And Still Bottoms From The Recovery Of One Or More Of The Above Nonhalogenated Solvents Or Those Solvents Containing, Before Use, A Total Of Ten Percent Or More (By Volume) Of 2-Ethoxyethanol, And 2-Nitropropane; All Spent Solvent Mixtures/Blends Ketone, Carbon Disulfide, Isobutanol, Pyridine, Benzene, The Following Spent Nonhalogenated Solvents: Toluene, Methyl EthylWaste Description:

F005Waste Code:

Mixtures.

Bottoms From The Recovery Of These Spent Solvents And Spent Solvent More Of Those Solvents Listed In F001, F002, F004, And F005; And Still Solvents, And A Total Of Ten Percent Or More (By Volume) Of One Or Containing, Before Use, One Or More Of The Above Nonhalogenated Nonhalogenated Solvents; And All Spent Solvent Mixtures/Blends Mixtures/Blends Containing, Before Use, Only The Above Spent Alcohol, Cyclohexanone, And Methanol; All Spent Solvent Acetate, Ethyl Benzene, Ethyl Ether, Methyl Isobutyl Ketone, N-Butyl The Following Spent Nonhalogenated Solvents: Xylene, Acetone, EthylWaste Description:

F003Waste Code:

Spent Solvents And Spent Solvent Mixtures.

In F002, F004, And F005; And Still Bottoms From The Recovery Of These One Or More Of The Above Halogenated Solvents Or Those Solvents Listed Containing, Before Use, A Total Of Ten Percent Or More (By Volume) Of Fluorocarbons; All Spent Solvent Mixtures/Blends Used In Degreasing 1,1,1-Trichloroethane, Carbon Tetrachloride And Chlorinated Tetrachloroethylene, Trichlorethylene, Methylene Chloride, The Following Spent Halogenated Solvents Used In Degreasing:Waste Description:

F001Waste Code:

Corrosive WasteWaste Description:

D002Waste Code:

Ignitable WasteWaste Description:

D001Waste Code:

Hazardous Waste Summary:

NoSub-Part P Indicator:

NoManifest Broker:

NoRecycler Activity Without Storage:

NoExporter of Spent Lead Acid Batteries:

NoImporter of Spent Lead Acid Batteries:

NoRecognized Trader-Exporter:

NoRecognized Trader-Importer:
20021007Handler Date of Last Change:

Not reportedFinancial Assurance Required:

NoSignificant Non-Complier With a Compliance Schedule Universe:

NoAddressed Significant Non-Complier Universe:

NoUnaddressed Significant Non-Complier Universe:

NoSignificant Non-Complier Universe:

N/AGroundwater Controls Indicator:

N/AHuman Exposure Controls Indicator:

VALLCO FASHION PARK (Continued) 1001217622
TC07984167.2r Page 602
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EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Not reportedAddress 2:
10123 N WOLFE RD STE 2030Address:

VALLCO FASHION PARKName:

HWTS:
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:
110009553296Registry ID:

FINDS:

No Evaluations FoundEvaluations:

Evaluation Action Summary:

No Violations FoundViolations:

Facility Has Received Notices of Violations:

No NAICS Codes FoundNAICS Codes:

List of NAICS Codes and Descriptions:

Not reportedElectronic Manifest Broker:

Not reportedNon Storage Recycler Activity:

YesCurrent Record:

NoSpent Lead Acid Battery Exporter:

NoSpent Lead Acid Battery Importer:

NoRecognized Trader Exporter:

NoRecognized Trader Importer:

NoLarge Quantity Handler of Universal Waste:

Not reportedState District Owner:

Small Quantity GeneratorFederal Waste Generator Description:

VALLCO FASHION PARKHandler Name:
19980407Receive Date:

Historic Generators:

Not reportedOwner/Operator Email:

Not reportedOwner/Operator Fax:

Not reportedOwner/Operator Telephone Ext:
216-871-4800Owner/Operator Telephone:

CLEVELAND, OH 44145-4122Owner/Operator City,State,Zip:
25425 CENTER RIDGE RDOwner/Operator Address:

Not reportedDate Ended Current:

Not reportedDate Became Current:

PrivateLegal Status:

RICHARD E JACOBS GROUPOwner/Operator Name:

OwnerOwner/Operator Indicator:

VALLCO FASHION PARK (Continued) 1001217622
TC07984167.2r Page 603
MAP FINDINGSMap ID
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EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation

0.4586Tons:

H01 - Transfer StationDisposal Method:
123 - Unspecified alkaline solutionCA Waste Code:

CAD000088252TSD EPA ID:

CAR000038307Gepaid:
1998Year:

0.021Tons:

H01 - Transfer StationDisposal Method:
135 - Unspecified aqueous solutionCA Waste Code:

CAD000088252TSD EPA ID:

CAR000038307Gepaid:
1998Year:

2.1806Tons:

H01 - Transfer StationDisposal Method:
331 - Off-specification, aged or surplus organicsCA Waste Code:

CAD000088252TSD EPA ID:

CAR000038307Gepaid:
1998Year:
10123 N WOLFE RD STE 2030Mailing Address:

Not reportedMailing Name:
4087773081Telephone:

JOE GOODWINContact:

CUPERTINO, CA 950140000City,State,Zip:

Not reportedAddress 2:
10123 N WOLFE RD STE 2030Address:

VALLCO FASHION PARKName:

HAZNET:
-122.014315Longitude:

37.324382Latitude:

FEDERALCategory:

PERMANENTFacility Type:

InactiveFacility Status:

Not reportedContact Fax:

Not reportedContact Phone:

CUPERTINO, CA 950140000City,State,Zip:

Not reportedContact Address 2:

INACT 99VQ FINAL NOTICE - BATCHContact Address:

JOE GOODWINContact Name:

Not reportedOwner Fax:

Not reportedOwner Phone:

CLEVELAND, OH 441454122Owner City,State,Zip:

Not reportedOwner Address 2:
25425 CENTER RIDGE RDOwner Address:

RICHARD E JACOBS GROUPOwner Name:

CUPERTINO, CA 950140000Mailing City,State,Zip:

Not reportedMailing Address 2:
10123 N WOLFE RD STE 2030Mailing Address:

Not reportedMailing Name:

Not reportedLast Act Date:
05/13/1998Create Date:
06/30/1999Inactive Date:

CAR000038307EPA ID:

CUPERTINO, CA 95014City,State,Zip:

VALLCO FASHION PARK (Continued) 1001217622
TC07984167.2r Page 604
MAP FINDINGSMap ID
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EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
CAD983652272Trans EPA ID:
96865887Manifest ID:
19980427Receipt Date:
6/26/1998 0:00:00Creation Date:
19980416Shipment Date:

Not reportedAdditional Code 5:

Not reportedAdditional Code 4:

Not reportedAdditional Code 3:

Not reportedAdditional Code 2:

Not reportedAdditional Code 1:

YQuantity Unit:
2Waste Quantity:

1.6856Quantity Tons:

H01 - Transfer StationMeth Code:

D001RCRA Code:
331 - Off-specification, aged, or surplus organicsWaste Code Description:

Not reportedTSDF Alt Name:

Not reportedTSDF Alt EPA ID:

Not reportedTrans Name:

CAD000088252TSDF EPA ID:

Not reportedTrans 2 Name:

Not reportedTrans 2 EPA ID:

Not reportedTrans Name:

CAD983652272Trans EPA ID:
96865886Manifest ID:
19980427Receipt Date:
6/26/1998 0:00:00Creation Date:
19980416Shipment Date:

Not reportedAdditional Code 5:

Not reportedAdditional Code 4:

Not reportedAdditional Code 3:

Not reportedAdditional Code 2:

Not reportedAdditional Code 1:

GQuantity Unit:
55Waste Quantity:

0.2293Quantity Tons:

H01 - Transfer StationMeth Code:

D002RCRA Code:
123 - Unspecified alkaline solutionWaste Code Description:

Not reportedTSDF Alt Name:

Not reportedTSDF Alt EPA ID:

Not reportedTrans Name:

CAD000088252TSDF EPA ID:

Not reportedTrans 2 Name:

Not reportedTrans 2 EPA ID:

Not reportedTrans Name:

CAD983652272Trans EPA ID:
96865886Manifest ID:
19980427Receipt Date:
6/26/1998 0:00:00Creation Date:
19980416Shipment Date:

CAR000038307Gen EPA ID:
1998Year:

Additional Information:

VALLCO FASHION PARK (Continued) 1001217622
TC07984167.2r Page 605
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
D001RCRA Code:
331 - Off-specification, aged, or surplus organicsWaste Code Description:

Not reportedTSDF Alt Name:

Not reportedTSDF Alt EPA ID:

Not reportedTrans Name:

CAD000088252TSDF EPA ID:

Not reportedTrans 2 Name:

Not reportedTrans 2 EPA ID:

Not reportedTrans Name:

CAD983652272Trans EPA ID:
96865886Manifest ID:
19980427Receipt Date:
6/26/1998 0:00:00Creation Date:
19980416Shipment Date:

Not reportedAdditional Code 5:

Not reportedAdditional Code 4:

Not reportedAdditional Code 3:

Not reportedAdditional Code 2:

Not reportedAdditional Code 1:

GQuantity Unit:
5Waste Quantity:

0.021Quantity Tons:

H01 - Transfer StationMeth Code:

Not reportedRCRA Code:
135 - Unspecified aqueous solutionWaste Code Description:

Not reportedTSDF Alt Name:

Not reportedTSDF Alt EPA ID:

Not reportedTrans Name:

CAD000088252TSDF EPA ID:

Not reportedTrans 2 Name:

Not reportedTrans 2 EPA ID:

Not reportedTrans Name:

CAD983652272Trans EPA ID:
96865886Manifest ID:
19980427Receipt Date:
6/26/1998 0:00:00Creation Date:
19980416Shipment Date:

Not reportedAdditional Code 5:

Not reportedAdditional Code 4:

Not reportedAdditional Code 3:

Not reportedAdditional Code 2:

Not reportedAdditional Code 1:

GQuantity Unit:
55Waste Quantity:

0.2293Quantity Tons:

H01 - Transfer StationMeth Code:

D002RCRA Code:
123 - Unspecified alkaline solutionWaste Code Description:

Not reportedTSDF Alt Name:

CAD000088252TSDF Alt EPA ID:

Not reportedTrans Name:

CAD000088252TSDF EPA ID:

Not reportedTrans 2 Name:

Not reportedTrans 2 EPA ID:

Not reportedTrans Name:

VALLCO FASHION PARK (Continued) 1001217622
TC07984167.2r Page 606
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Not reportedAdditional Code 5:

Not reportedAdditional Code 4:

Not reportedAdditional Code 3:

Not reportedAdditional Code 2:

Not reportedAdditional Code 1:

GQuantity Unit:
150Waste Quantity:

0.495Quantity Tons:

H01 - Transfer StationMeth Code:

VALLCO FASHION PARK (Continued) 1001217622
FA0250603Facility ID:

PR0419427Record ID:
-122.014532Longitude:

37.325703Latitude:

DEH PERMIT-HAZ WASTE GENERATOR PROGRAMProgram Identifier:

GENERATES < 10 GAL/YRProgram Description:
2240PE#:

Not reportedUDF Email:

Not reportedTelephone:

SANTA CLARARegion:

CUPERTINO, CA 95014City,State,Zip:
10123 N WOLFE RDAddress:

VALLCO GENERATOR ROOMName:

CUPA SANTA CLARA:
1198 ft. Site 15 of 16 in cluster P

0.227 mi.

Relative:

Lower
Actual:
189 ft.

1/8-1/4 CUPERTINO, CA 95014
North 10123 N WOLFE RD N/A
P119 CUPA ListingsVALLCO GENERATOR ROOM S112911315
Not reportedAccessibility:

Not reportedBiennial Report Cycle:

Not reportedNon-Notifier:

Not a generator, verifiedFederal Waste Generator Description:

PrivateLand Type:
09EPA Region:

SR DIRECTOR DESIGN & CONSTRUCTIONContact Title:

[email protected] Email:

Not reportedContact Fax:
415-518-7568Contact Telephone:

PALO ALTO, CA 94306Contact City,State,Zip:

EL CAMINO REALContact Address:

STEVE MCCARTTContact Name:

CAP000355214EPA ID:

CUPERTINO, CA 95014Handler City,State,Zip:

N Wolfe RdHandler Address:

Vallco Property Owner, LlcHandler Name:
20230904Date Form Received by Agency:

RCRA Listings:
1198 ft. Site 16 of 16 in cluster P

0.227 mi.

Relative:

Lower
Actual:
189 ft.

1/8-1/4 CUPERTINO, CA 95014
North E MANIFEST10123 N WOLFE RD CAC003034443
P120 RCRA NonGen / NLRVALLCO PROPERTY OWNER, LLC 1025854215 TC07984167.2r Page 607
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Handler - Owner Operator:

TetrachloroethyleneWaste Description:

D039Waste Code:

Hazardous Waste Summary:

NoSub-Part P Indicator:

NoManifest Broker:

NoRecycler Activity Without Storage:

NoExporter of Spent Lead Acid Batteries:

NoImporter of Spent Lead Acid Batteries:

NoRecognized Trader-Exporter:

NoRecognized Trader-Importer:
20240722Handler Date of Last Change:

Not reportedFinancial Assurance Required:

NoSignificant Non-Complier With a Compliance Schedule Universe:

NoAddressed Significant Non-Complier Universe:

NoUnaddressed Significant Non-Complier Universe:

NoSignificant Non-Complier Universe:

N/AGroundwater Controls Indicator:

N/AHuman Exposure Controls Indicator:

NoInstitutional Control Indicator:

NoEnvironmental Control Indicator:

No NCAPS rankingCorrective Action Priority Ranking:

NoNon-TSDFs Where RCRA CA has Been Imposed Universe:

NoSubject to Corrective Action Universe:

No202 GPRA Corrective Action Baseline:

Not on the Baseline2018 GPRA Renewals Baseline:

Not on the Baseline2018 GPRA Permit Baseline:

Not reportedSub-Part K Indicator:

NHazardous Secondary Material Indicator:

Not reportedFederal Facility Indicator:
---Active Site State-Reg Handler:

NoFederal Universal Waste:

NoUniversal Waste Destination Facility:

NoUniversal Waste Indicator:

NoOff-Site Waste Receipt:

NoUnderground Injection Control:

NoSmelting Melting and Refining Furnace Exemption:

NoSmall Quantity On-Site Burner Exemption:

NoRecycler Activity with Storage:

NoTransfer Facility Activity:

NoTransporter Activity:

NoMixed Waste Generator:

NoImporter Activity:

NoShort-Term Generator Activity:

Not reportedOperator Type:

Not reportedOperator Name:

Not reportedOwner Type:

Not reportedOwner Name:

Not reportedMailing City,State,Zip:

Not reportedMailing Address:

Not reportedState District:

Not reportedState District Owner:

Not reportedActive Site Indicator:

VALLCO PROPERTY OWNER, LLC (Continued) 1025854215
TC07984167.2r Page 608
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Other Services To Buildings And DwellingsNAICS Description:
561790NAICS Code:

List of NAICS Codes and Descriptions:

NoElectronic Manifest Broker:

NoNon Storage Recycler Activity:

NoCurrent Record:

NoSpent Lead Acid Battery Exporter:

NoSpent Lead Acid Battery Importer:

NoRecognized Trader Exporter:

NoRecognized Trader Importer:

NoLarge Quantity Handler of Universal Waste:

Not reportedState District Owner:

Small Quantity GeneratorFederal Waste Generator Description:

VALLCO PROPERTY OWNER, LLCHandler Name:
20230526Receive Date:

NoElectronic Manifest Broker:

NoNon Storage Recycler Activity:

YesCurrent Record:

NoSpent Lead Acid Battery Exporter:

NoSpent Lead Acid Battery Importer:

NoRecognized Trader Exporter:

NoRecognized Trader Importer:

NoLarge Quantity Handler of Universal Waste:

Not reportedState District Owner:

Not a generator, verifiedFederal Waste Generator Description:

VALLCO PROPERTY OWNER, LLCHandler Name:
20230904Receive Date:

Historic Generators:

[email protected]/Operator Email:

Not reportedOwner/Operator Fax:

Not reportedOwner/Operator Telephone Ext:
415-518-7568Owner/Operator Telephone:

CUPERTINO, CA 95014Owner/Operator City,State,Zip:
10123 N WOLFE RDOwner/Operator Address:

Not reportedDate Ended Current:
20190114Date Became Current:

PrivateLegal Status:

VALLCO PROPERTY OWNER, LLCOwner/Operator Name:

OwnerOwner/Operator Indicator:

[email protected]/Operator Email:

Not reportedOwner/Operator Fax:

Not reportedOwner/Operator Telephone Ext:
415-518-7568Owner/Operator Telephone:

CUPERTINO, CA 95014Owner/Operator City,State,Zip:
10123 WOLFE RDOwner/Operator Address:

Not reportedDate Ended Current:
20190114Date Became Current:

PrivateLegal Status:

VALLCO PROPERTY OWNER, LLCOwner/Operator Name:

OperatorOwner/Operator Indicator:

VALLCO PROPERTY OWNER, LLC (Continued) 1025854215
TC07984167.2r Page 609
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
CAC003034443Generator EPA ID:

WebOrigin Type:

DataImage5CopySubmission Type:

SignedManifest Status:
20191021Received Date:
20190930Shipped Date:
20191119Last Updated Date:
013684311JJKManifest Tracking Number:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

CADesignated Facility Location State:
95687-0000Designated Facility Location Zip:

VACAVILLEDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:
6426 HAY RDDesignated Facility Location Street 1:

Not reportedDesignated Facility Location Street Number:

CADesignated Facility Mail State:
95620Designated Facility Mail Zip:

DIXONDesignated Facility Mail City:
235 N FIRST STDesignated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:

Not reportedDesignated Facility Mail Street Number:

Recology Hay RoadDesignated Facility Name:

CAD982042475Designated Facility EPA ID:

Not reportedGenerator Contact Company Name:

CAGenerator Mail State:
94304Generator Mail Zip:

PALO ALTOGenerator Mail City:

Not reportedGenerator Mail Street 2:
965 PAGE MILL ROADGenerator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
10123 N WOLFE RDGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Vallco Property Owner, LlcGenerator Name:

CAC003034443Generator EPA ID:

MailOrigin Type:

DataImage5CopySubmission Type:

SignedManifest Status:
20191030Received Date:
20191030Shipped Date:
20191118Last Updated Date:
013347192JJKManifest Tracking Number:

E MANIFEST:

No Evaluations FoundEvaluations:

Evaluation Action Summary:

No Violations FoundViolations:

Facility Has Received Notices of Violations:

VALLCO PROPERTY OWNER, LLC (Continued) 1025854215
TC07984167.2r Page 610
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Not reportedDesignated Facility Mail Street Number:

Not reportedDesignated Facility Name:

NVT330010000Designated Facility EPA ID:

Not reportedGenerator Contact Company Name:

CAGenerator Mail State:
94304Generator Mail Zip:

PALO ALTOGenerator Mail City:

Not reportedGenerator Mail Street 2:
965 PAGE MILL ROADGenerator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
10123 N WOLFE RDGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Vallco Property Owner, LlcGenerator Name:

CAC003034443Generator EPA ID:

ServiceOrigin Type:

DataImage5CopySubmission Type:

SignedManifest Status:
20191108Received Date:
20191105Shipped Date:
20191112Last Updated Date:
000007165GBFManifest Tracking Number:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

AZDesignated Facility Location State:
85040Designated Facility Location Zip:

PHOENIXDesignated Facility Location City:

STE 4Designated Facility Location Street 2:
1522 E VICTORY STDesignated Facility Location Street 1:

Not reportedDesignated Facility Location Street Number:

AZDesignated Facility Mail State:
85040Designated Facility Mail Zip:

PHOENIXDesignated Facility Mail City:
1522 E VICTORY STDesignated Facility Mail Street 2:

STE 2Designated Facility Mail Street 1:

Not reportedDesignated Facility Mail Street Number:

Lighting Resources IncDesignated Facility Name:

AZD983476680Designated Facility EPA ID:

Not reportedGenerator Contact Company Name:

CAGenerator Mail State:
94304Generator Mail Zip:

PALO ALTOGenerator Mail City:

Not reportedGenerator Mail Street 2:
965 PAGE MILL ROADGenerator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
10123 N WOLFE RDGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Vallco Property Owner, LlcGenerator Name:

VALLCO PROPERTY OWNER, LLC (Continued) 1025854215
TC07984167.2r Page 611
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
NWaste Type Discrepancy Indicator:

NQuantity Discrepancy Indicator:

NWaste Residue Indicator:

LANDFILL (WITH PRIOR TREATMENT AND/OR STABILIZATION)Management Method Description:

H132Management Method Code:
907Non-Acute Waste Quantity, in Kilorgrams:
0Acute Waste Quantity, in Kilograms:
907Waste Quantity, in Kilograms:

0.9999669Non-Acute Waste Quantity, in Tons:
0Acute Waste Quantity, in Tons:

0.9999669Waste Quantity, in Tons:

KilogramsQuantity Unit of Measure Description:

KQuantity Unit of Measure Code:
907Waste Quantity:

Metal boxes, cartons, cases (including roll offs)Container Type Description:

CMContainer Type Code:
1Number of Containers:

Not reportedNon-Hazardous Waste Description:

Rq, Un3432, Polychlorinated Biphenyls, Solid, 9, Pg-Ii, 9, Pg IiU.S. DOT Description:

UN3432U.S. DOT ID Number:

YU.S. DOT Hazardous Indicator:
1Waste Line Number:
000007165GBFManifest Tracking Number:

Waste Line:

Cm TransportTransporter Name:

CAR000002121Transporter EPA ID:
1Transporter Line Number:
000007165GBFManifest Tracking Number:

Transporter:
907Weight:

Not reportedWaste Type:

Bulk WasteLoad Type Description:

BulkWasteLoad Type:
20191001Date of Removal:

BULK:SOLIDBulk Identity:

Not reportedArticle or Container ID:
1Waste Line Number:
000007165GBFManifest Tracking Number:

PCB Information:

NRejection Indicator:

NManifest Residue Indicator:

Us Ecology Nevada, IncDesignated Facility Contact Company Name:

NVDesignated Facility Location State:
89003Designated Facility Location Zip:

BEATTYDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:

HWY 95 11 MI S OF BEATTYDesignated Facility Location Street 1:

Not reportedDesignated Facility Location Street Number:

NVDesignated Facility Mail State:
89003Designated Facility Mail Zip:

BEATTYDesignated Facility Mail City:

PO BOX 578Designated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:

VALLCO PROPERTY OWNER, LLC (Continued) 1025854215
TC07984167.2r Page 612
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
CA-261State Waste Codes:

0.9999669Quantity Non Haz Tons:
907Quantity Non Haz Kg:
0Quantity Haz Tons:
0Quantity Haz Kg:

Not reportedFederal Waste Codes:

NEPA Waste Indicator:

Not reportedConsent Number:

Not reportedWaste Minimization Code Description:

Not reportedWaste Minimization Code:

Not reportedSource Code Description:

Not reportedSource Code:

Not reportedForm Code Description:

Not reportedForm Code:

Not reportedWaste Density Unit of Measure Description:

Not reportedWaste Density Unit of Measure Code:

Not reportedWaste Density:

VALLCO PROPERTY OWNER, LLC (Continued) 1025854215
Compliance Evaluation InspectionEval General Type:

Evaluation:

Chemical Storage FacilitiesCERS Description:
10687168CERS ID:
374757Site ID:

CUPERTINO, CA 95014City,State,Zip:
19339 STEVENS CREEK BLVDAddress:

APPLE - VALLCO PARKWAY 3Name:

CERS:

FA0289678Facility ID:

PR0445015Record ID:
-122.0108083Longitude:

37.3263283Latitude:

DEH PERMIT-HAZ WASTE GENERATOR PROGRAMProgram Identifier:

GENERATES 100 KG TO < 5 TONS/YEARProgram Description:
2205PE#:

Not reportedUDF Email:
4158101793Telephone:

SANTA CLARARegion:

CUPERTINO, CA 95014City,State,Zip:
19339 STEVENS CREEK BLAddress:

APPLEName:

CUPA SANTA CLARA:

Hazardous Waste GeneratorCERS Description:
10687168CERS ID:
374757Site ID:

CUPERTINO, CA 95014City,State,Zip:
19339 STEVENS CREEK BLVDAddress:

APPLE - VALLCO PARKWAY 3Name:

CERS HAZ WASTE:
1286 ft. Site 5 of 5 in cluster N

0.244 mi.

Relative:

Lower
Actual:
178 ft.

1/8-1/4 CERSCUPERTINO, CA 95014
East CUPA Listings19339 STEVENS CREEK BL N/A
N121 CERS HAZ WASTEAPPLE S121769766
TC07984167.2r Page 613
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Not reportedAffiliation Zip:

Not reportedAffiliation Country:

Not reportedAffiliation State:

Not reportedAffiliation City:

Not reportedAffiliation Address:

Not reportedEntity Title:

APPLE INCEntity Name:

Parent CorporationAffiliation Type Desc:
,Affiliation Phone:

Not reportedAffiliation Zip:

Not reportedAffiliation Country:

Not reportedAffiliation State:

Not reportedAffiliation City:

Not reportedAffiliation Address:

EHS LeadEntity Title:

Jeff ConnellEntity Name:

Identification SignerAffiliation Type Desc:
,Affiliation Phone:

Not reportedAffiliation Zip:

Not reportedAffiliation Country:

Not reportedAffiliation State:

Not reportedAffiliation City:

Not reportedAffiliation Address:

Not reportedEntity Title:

BSIEntity Name:

Document PreparerAffiliation Type Desc:

Affiliation:
-122.010670Longitude:

37.323080Latitude:

Center of a facility or station.,Ref Point Type Desc:

Not reportedCoord Name:
10687168Program ID:

HMBPEnv Int Type Code:

APPLE - VALLCO PARKWAY 3Facility Name:
374757Site ID:

Coordinates:

CERS,Eval Source:

HMRRPEval Program:

Santa Clara County Fire DepartmentEval Division:

Occupany ID: 16576Eval Notes:

Routine done by local agencyEval Type:

NoViolations Found:
10-27-2020Eval Date:

Compliance Evaluation InspectionEval General Type:

CERS,Eval Source:

HMRRPEval Program:

Santa Clara County Fire DepartmentEval Division:

Occupany ID: 16576Eval Notes:

Routine done by local agencyEval Type:

NoViolations Found:
11-17-2022Eval Date:

APPLE (Continued) S121769766
TC07984167.2r Page 614
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Not reportedAffiliation City:

Not reportedAffiliation Address:

Not reportedEntity Title:

Apple Inc.Entity Name:

OperatorAffiliation Type Desc:
,Affiliation Phone:
95014Affiliation Zip:

Not reportedAffiliation Country:

CAAffiliation State:

CupertinoAffiliation City:

One Apple Park Way, M/S 319-3EHSAffiliation Address:

Not reportedEntity Title:

Kevin SungEntity Name:

Environmental ContactAffiliation Type Desc:
(650) 344-1500,Affiliation Phone:
94025Affiliation Zip:

United StatesAffiliation Country:

CAAffiliation State:

Menlo ParkAffiliation City:
2882 Sand Hill Rd., Suite 241Affiliation Address:

Not reportedEntity Title:

Main Street Cupertino Office Property, LLCEntity Name:

Property OwnerAffiliation Type Desc:
(408) 918-3400,Affiliation Phone:
95112-2716Affiliation Zip:

Not reportedAffiliation Country:

CAAffiliation State:

San JoseAffiliation City:
1555 Berger Drive, Suite 300Affiliation Address:

Not reportedEntity Title:

Santa Clara County Environmental HealthEntity Name:

CUPA DistrictAffiliation Type Desc:
(408) 996-1010,Affiliation Phone:
95014Affiliation Zip:

United StatesAffiliation Country:

CAAffiliation State:

CupertinoAffiliation City:

One Apple Park Way, M/S 319-3EHSAffiliation Address:

Not reportedEntity Title:

Apple Inc.Entity Name:

Legal OwnerAffiliation Type Desc:
,Affiliation Phone:
95014Affiliation Zip:

Not reportedAffiliation Country:

CAAffiliation State:

CupertinoAffiliation City:

One Apple Park Way, MS 319-3EHSAffiliation Address:

Not reportedEntity Title:

Mailing AddressEntity Name:

Facility Mailing AddressAffiliation Type Desc:
,Affiliation Phone:

APPLE (Continued) S121769766
TC07984167.2r Page 615
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
(408) 974-3333,Affiliation Phone:

Not reportedAffiliation Zip:

Not reportedAffiliation Country:

Not reportedAffiliation State:

APPLE (Continued) S121769766
Not on the Baseline2018 GPRA Permit Baseline:

Not reportedSub-Part K Indicator:

NHazardous Secondary Material Indicator:

Not reportedFederal Facility Indicator:
---Active Site State-Reg Handler:

NoFederal Universal Waste:

NoUniversal Waste Destination Facility:

NoUniversal Waste Indicator:

NoOff-Site Waste Receipt:

NoUnderground Injection Control:

NoSmelting Melting and Refining Furnace Exemption:

NoSmall Quantity On-Site Burner Exemption:

NoRecycler Activity with Storage:

NoTransfer Facility Activity:

NoTransporter Activity:

NoMixed Waste Generator:

NoImporter Activity:

NoShort-Term Generator Activity:

Not reportedOperator Type:

Not reportedOperator Name:

Not reportedOwner Type:

Not reportedOwner Name:

Not reportedMailing City,State,Zip:

Not reportedMailing Address:

Not reportedState District:

Not reportedState District Owner:

Not reportedActive Site Indicator:

Not reportedAccessibility:

Not reportedBiennial Report Cycle:

Not reportedNon-Notifier:

Not a generator, verifiedFederal Waste Generator Description:

Not reportedLand Type:
09EPA Region:

Not reportedContact Title:

[email protected] Email:

Not reportedContact Fax:
408-482-6520Contact Telephone:

CUPERTINO, CA 95014Contact City,State,Zip:
10151 DEEPROSE PLACEContact Address:

MIKE BIRDSALLContact Name:

CAC003307225EPA ID:

CUPERTINO, CA 95014Handler City,State,Zip:
10151 Deeprose PlaceHandler Address:

Mike BirdsallHandler Name:
20241226Date Form Received by Agency:

RCRA Listings:
1314 ft.

0.249 mi.

Relative:

Higher
Actual:
206 ft.

1/8-1/4 CUPERTINO, CA 95014
WSW E MANIFEST10151 DEEPROSE PLACE CAC003307225
122 RCRA NonGen / NLRMIKE BIRDSALL 1031464608
TC07984167.2r Page 616
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
NoRecognized Trader Importer:

NoLarge Quantity Handler of Universal Waste:

Not reportedState District Owner:

Not a generator, verifiedFederal Waste Generator Description:

MIKE BIRDSALLHandler Name:
20240926Receive Date:

Historic Generators:

Not reportedOwner/Operator Email:

Not reportedOwner/Operator Fax:

Not reportedOwner/Operator Telephone Ext:
408-482-6520Owner/Operator Telephone:

CUPERTINO, CA 95014Owner/Operator City,State,Zip:
10151 DEEPROSE PLACEOwner/Operator Address:

Not reportedDate Ended Current:

Not reportedDate Became Current:

OtherLegal Status:

MIKE BIRDSALLOwner/Operator Name:

OperatorOwner/Operator Indicator:

Not reportedOwner/Operator Email:

Not reportedOwner/Operator Fax:

Not reportedOwner/Operator Telephone Ext:
408-482-6520Owner/Operator Telephone:

CUPERTINO, CA 95014Owner/Operator City,State,Zip:
10151 DEEPROSE PLACEOwner/Operator Address:

Not reportedDate Ended Current:

Not reportedDate Became Current:

OtherLegal Status:

MIKE BIRDSALLOwner/Operator Name:

OwnerOwner/Operator Indicator:

Handler - Owner Operator:

NoSub-Part P Indicator:

NoManifest Broker:

NoRecycler Activity Without Storage:

NoExporter of Spent Lead Acid Batteries:

NoImporter of Spent Lead Acid Batteries:

NoRecognized Trader-Exporter:

NoRecognized Trader-Importer:
20250108Handler Date of Last Change:

Not reportedFinancial Assurance Required:

NoSignificant Non-Complier With a Compliance Schedule Universe:

NoAddressed Significant Non-Complier Universe:

NoUnaddressed Significant Non-Complier Universe:

NoSignificant Non-Complier Universe:

N/AGroundwater Controls Indicator:

N/AHuman Exposure Controls Indicator:

NoInstitutional Control Indicator:

NoEnvironmental Control Indicator:

No NCAPS rankingCorrective Action Priority Ranking:

NoNon-TSDFs Where RCRA CA has Been Imposed Universe:

NoSubject to Corrective Action Universe:

No202 GPRA Corrective Action Baseline:

Not on the Baseline2018 GPRA Renewals Baseline:

MIKE BIRDSALL (Continued) 1031464608
TC07984167.2r Page 617
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
CAD981382732Designated Facility EPA ID:

Not reportedGenerator Contact Company Name:

CAGenerator Mail State:
95014Generator Mail Zip:

CUPERTINOGenerator Mail City:

Not reportedGenerator Mail Street 2:
10151 DEEPROSE PLACEGenerator Mail Street 1:

Not reportedGenerator Mail Street Number:
95014Generator Location Zip:

CAGenerator Location State:

CUPERTINOGenerator Location City:

Not reportedGenerator Location Street 2:
10151 DEEPROSE PLACEGenerator Location Street 1:

Not reportedGenerator Location Street Number:

Mike BirdsallGenerator Name:

CAC003307225Generator EPA ID:

ServiceOrigin Type:

DataImage5CopySubmission Type:

SignedManifest Status:
20241003Received Date:
20240930Shipped Date:
20241029Last Updated Date:
026882601JJKManifest Tracking Number:

E MANIFEST:

No Evaluations FoundEvaluations:

Evaluation Action Summary:

No Violations FoundViolations:

Facility Has Received Notices of Violations:

All Other Waste Management ServicesNAICS Description:
56299NAICS Code:

List of NAICS Codes and Descriptions:

NoElectronic Manifest Broker:

NoNon Storage Recycler Activity:

YesCurrent Record:

NoSpent Lead Acid Battery Exporter:

NoSpent Lead Acid Battery Importer:

NoRecognized Trader Exporter:

NoRecognized Trader Importer:

NoLarge Quantity Handler of Universal Waste:

Not reportedState District Owner:

Not a generator, verifiedFederal Waste Generator Description:

MIKE BIRDSALLHandler Name:
20241226Receive Date:

NoElectronic Manifest Broker:

NoNon Storage Recycler Activity:

NoCurrent Record:

NoSpent Lead Acid Battery Exporter:

NoSpent Lead Acid Battery Importer:

NoRecognized Trader Exporter:

MIKE BIRDSALL (Continued) 1031464608
TC07984167.2r Page 618
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Not reportedForm Code:

Not reportedWaste Density Unit of Measure Description:

Not reportedWaste Density Unit of Measure Code:

Not reportedWaste Density:

NWaste Type Discrepancy Indicator:

NQuantity Discrepancy Indicator:

NWaste Residue Indicator:

LANDFILL (WITH PRIOR TREATMENT AND/OR STABILIZATION)Management Method Description:

H132Management Method Code:
761.9052Non-Acute Waste Quantity, in Kilorgrams:
0Acute Waste Quantity, in Kilograms:
761.9052Waste Quantity, in Kilograms:

0.84Non-Acute Waste Quantity, in Tons:
0Acute Waste Quantity, in Tons:

0.84Waste Quantity, in Tons:

Cubic YardsQuantity Unit of Measure Description:

YQuantity Unit of Measure Code:
1Waste Quantity:

Burlap, cloth, paper, or plastic bagsContainer Type Description:

BAContainer Type Code:
10Number of Containers:

Not reportedNon-Hazardous Waste Description:

Na2212, Asbestos, 9, Pg Iii, RqU.S. DOT Description:

NA2212U.S. DOT ID Number:

YU.S. DOT Hazardous Indicator:
1Waste Line Number:
026882601JJKManifest Tracking Number:

Waste Line:

Advanced Chemical Transport LlcTransporter Name:

CAR000070540Transporter EPA ID:
2Transporter Line Number:
026882601JJKManifest Tracking Number:

Synergy Enterprises IncTransporter Name:

CAL000291177Transporter EPA ID:
1Transporter Line Number:
026882601JJKManifest Tracking Number:

Transporter:

NRejection Indicator:

NManifest Residue Indicator:

Not reportedDesignated Facility Contact Company Name:

CADesignated Facility Location State:
94551Designated Facility Location Zip:

LIVERMOREDesignated Facility Location City:

Not reportedDesignated Facility Location Street 2:

ALTAMONT PASS RDDesignated Facility Location Street 1:
10840Designated Facility Location Street Number:

CADesignated Facility Mail State:
94551Designated Facility Mail Zip:

LIVERMOREDesignated Facility Mail City:

ALTAMONT PASS RDDesignated Facility Mail Street 2:

Not reportedDesignated Facility Mail Street 1:
10840Designated Facility Mail Street Number:

Altamont Landfill & Resource Recovery FacilityDesignated Facility Name:

MIKE BIRDSALL (Continued) 1031464608
TC07984167.2r Page 619
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
CA-151State Waste Codes:

0.84Quantity Non Haz Tons:
761.9052Quantity Non Haz Kg:
0Quantity Haz Tons:
0Quantity Haz Kg:

Not reportedFederal Waste Codes:

NEPA Waste Indicator:

Not reportedConsent Number:

Not reportedWaste Minimization Code Description:

Not reportedWaste Minimization Code:

Not reportedSource Code Description:

Not reportedSource Code:

Not reportedForm Code Description:

MIKE BIRDSALL (Continued) 1031464608
DISCVRYAction Name:

DSAction Code:
00OU:

NFF:

NNPL:

TANDEM COMPUTERS LOC 1Site Name:

CAD069101152EPA ID:
0901539Site ID:
09Region:

EPA PerfCurrent Action Lead:

NQual:
1987-10-01 04:00:00Finish Date:

Not reportedStart Date:
1SEQ:

PAAction Name:

PAAction Code:
00OU:

NFF:

NNPL:

TANDEM COMPUTERS LOC 1Site Name:

CAD069101152EPA ID:
0901539Site ID:
09Region:

SEMS Archive Detail:

NFRAP-Site does not qualify for the NPL based on existing informationNon NPL Status:

Not on the NPLNPL:

NFF:
06085FIPS Code:
12Cong District:

CUPERTINO, CA 95014City,State,Zip:

Not reportedAddress 2:
19333 VALLCO PARKWAYAddress:

TANDEM COMPUTERS LOC 1Name:

CAD069101152EPA ID:
0901539Site ID:

SEMS Archive:
1675 ft. CA FID USTSite 1 of 2 in cluster Q

0.317 mi. HIST UST
Relative:

Lower
Actual:
184 ft.

1/4-1/2 SWEEPS USTCUPERTINO, CA 95014
NE RCRA-SQG19333 VALLCO PARKWAY CAD069101152
Q123 SEMS-ARCHIVETANDEM COMPUTERS LOC 1 1000186131
TC07984167.2r Page 620
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
NoSmall Quantity On-Site Burner Exemption:

NoRecycler Activity with Storage:

NoTransfer Facility Activity:

NoTransporter Activity:

NoMixed Waste Generator:

NoImporter Activity:

NoShort-Term Generator Activity:

PrivateOperator Type:

Not RequiredOperator Name:

Not reportedOwner Type:

Not reportedOwner Name:

CUPERTINO, CA 95014Mailing City,State,Zip:
19333 VALLCO PARKWAYMailing Address:
2State District:

CaState District Owner:

Handler ActivitiesActive Site Indicator:

Not reportedAccessibility:

Not reportedBiennial Report Cycle:

Not reportedNon-Notifier:

Small Quantity GeneratorFederal Waste Generator Description:

Not reportedLand Type:
09EPA Region:

Not reportedContact Title:

Not reportedContact Email:

Not reportedContact Fax:

Not reportedContact Telephone:

Not reportedContact City,State,Zip:

Not reportedContact Address:

Not reportedContact Name:

CAD069101152EPA ID:

CUPERTINO, CA 95014Handler City,State,Zip:
19333 Vallco ParkwayHandler Address:

Tandem Computers Location OneHandler Name:
19960901Date Form Received by Agency:

RCRA Listings:

EPA Perf In-HseCurrent Action Lead:

Not reportedQual:
1987-10-01 04:00:00Finish Date:

Not reportedStart Date:
1SEQ:

ARCH SITEAction Name:

VSAction Code:
00OU:

NFF:

NNPL:

TANDEM COMPUTERS LOC 1Site Name:

CAD069101152EPA ID:
0901539Site ID:
09Region:

EPA PerfCurrent Action Lead:

Not reportedQual:
1986-05-01 04:00:00Finish Date:
1986-05-01 04:00:00Start Date:
1SEQ:

TANDEM COMPUTERS LOC 1 (Continued) 1000186131
TC07984167.2r Page 621
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Not reportedOwner/Operator Telephone Ext:
415-555-1212Owner/Operator Telephone:

NOT REQUIRED, ME 99999Owner/Operator City,State,Zip:

NOT REQUIREDOwner/Operator Address:

Not reportedDate Ended Current:

Not reportedDate Became Current:

PrivateLegal Status:

NOT REQUIREDOwner/Operator Name:

OperatorOwner/Operator Indicator:

Not reportedOwner/Operator Email:

Not reportedOwner/Operator Fax:

Not reportedOwner/Operator Telephone Ext:
415-555-1212Owner/Operator Telephone:

NOT REQUIRED, ME 99999Owner/Operator City,State,Zip:

NOT REQUIREDOwner/Operator Address:

Not reportedDate Ended Current:

Not reportedDate Became Current:

PrivateLegal Status:

NOT REQUIREDOwner/Operator Name:

OperatorOwner/Operator Indicator:

Handler - Owner Operator:

NoSub-Part P Indicator:

NoManifest Broker:

NoRecycler Activity Without Storage:

NoExporter of Spent Lead Acid Batteries:

NoImporter of Spent Lead Acid Batteries:

NoRecognized Trader-Exporter:

NoRecognized Trader-Importer:
20060905Handler Date of Last Change:

Not reportedFinancial Assurance Required:

NoSignificant Non-Complier With a Compliance Schedule Universe:

NoAddressed Significant Non-Complier Universe:

NoUnaddressed Significant Non-Complier Universe:

NoSignificant Non-Complier Universe:

N/AGroundwater Controls Indicator:

N/AHuman Exposure Controls Indicator:

NoInstitutional Control Indicator:

NoEnvironmental Control Indicator:

No NCAPS rankingCorrective Action Priority Ranking:

NoNon-TSDFs Where RCRA CA has Been Imposed Universe:

NoSubject to Corrective Action Universe:

No202 GPRA Corrective Action Baseline:

Not on the Baseline2018 GPRA Renewals Baseline:

Not on the Baseline2018 GPRA Permit Baseline:

Not reportedSub-Part K Indicator:

NHazardous Secondary Material Indicator:

Not reportedFederal Facility Indicator:
---Active Site State-Reg Handler:

NoFederal Universal Waste:

NoUniversal Waste Destination Facility:

NoUniversal Waste Indicator:

NoOff-Site Waste Receipt:

NoUnderground Injection Control:

NoSmelting Melting and Refining Furnace Exemption:

TANDEM COMPUTERS LOC 1 (Continued) 1000186131
TC07984167.2r Page 622
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
TANDEM COMPUTERS (SITE #1)Handler Name:
19900416Receive Date:

Not reportedElectronic Manifest Broker:

Not reportedNon Storage Recycler Activity:

NoCurrent Record:

NoSpent Lead Acid Battery Exporter:

NoSpent Lead Acid Battery Importer:

NoRecognized Trader Exporter:

NoRecognized Trader Importer:

NoLarge Quantity Handler of Universal Waste:

CaState District Owner:

Not a generator, verifiedFederal Waste Generator Description:

TANDEM COMPUTERS LOCATION ONEHandler Name:
19841214Receive Date:

Not reportedElectronic Manifest Broker:

Not reportedNon Storage Recycler Activity:

YesCurrent Record:

NoSpent Lead Acid Battery Exporter:

NoSpent Lead Acid Battery Importer:

NoRecognized Trader Exporter:

NoRecognized Trader Importer:

NoLarge Quantity Handler of Universal Waste:

CaState District Owner:

Small Quantity GeneratorFederal Waste Generator Description:

TANDEM COMPUTERS LOCATION ONEHandler Name:
19960901Receive Date:

Not reportedElectronic Manifest Broker:

Not reportedNon Storage Recycler Activity:

NoCurrent Record:

NoSpent Lead Acid Battery Exporter:

NoSpent Lead Acid Battery Importer:

NoRecognized Trader Exporter:

NoRecognized Trader Importer:

NoLarge Quantity Handler of Universal Waste:

CaState District Owner:

Large Quantity GeneratorFederal Waste Generator Description:

TANDEM COMPUTERS LOCATION ONEHandler Name:
19960901Receive Date:

Historic Generators:

Not reportedOwner/Operator Email:

Not reportedOwner/Operator Fax:

Not reportedOwner/Operator Telephone Ext:
415-555-1212Owner/Operator Telephone:

NOT REQUIRED, ME 99999Owner/Operator City,State,Zip:

NOT REQUIREDOwner/Operator Address:

Not reportedDate Ended Current:

Not reportedDate Became Current:

PrivateLegal Status:

NOT REQUIREDOwner/Operator Name:

OwnerOwner/Operator Indicator:

Not reportedOwner/Operator Email:

Not reportedOwner/Operator Fax:

TANDEM COMPUTERS LOC 1 (Continued) 1000186131
TC07984167.2r Page 623
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Not reportedNumber:
45615Comp Number:

Not reportedStatus:

CUPERTINOCity:
19333 VALLCO PKYAddress:

TANDEM LOCATION ONEName:

SWEEPS UST:

No Evaluations FoundEvaluations:

Evaluation Action Summary:

No Violations FoundViolations:

Facility Has Received Notices of Violations:

Electronic Computer ManufacturingNAICS Description:
334111NAICS Code:

List of NAICS Codes and Descriptions:

Not reportedElectronic Manifest Broker:

Not reportedNon Storage Recycler Activity:

NoCurrent Record:

NoSpent Lead Acid Battery Exporter:

NoSpent Lead Acid Battery Importer:

NoRecognized Trader Exporter:

NoRecognized Trader Importer:

NoLarge Quantity Handler of Universal Waste:

Not reportedState District Owner:

Large Quantity GeneratorFederal Waste Generator Description:

TANDEM COMPUTERS (SITE #1)Handler Name:
19940824Receive Date:

Not reportedElectronic Manifest Broker:

Not reportedNon Storage Recycler Activity:

NoCurrent Record:

NoSpent Lead Acid Battery Exporter:

NoSpent Lead Acid Battery Importer:

NoRecognized Trader Exporter:

NoRecognized Trader Importer:

NoLarge Quantity Handler of Universal Waste:

Not reportedState District Owner:

Large Quantity GeneratorFederal Waste Generator Description:

TANDEM COMPUTERS (SITE #1)Handler Name:
19920228Receive Date:

Not reportedElectronic Manifest Broker:

Not reportedNon Storage Recycler Activity:

NoCurrent Record:

NoSpent Lead Acid Battery Exporter:

NoSpent Lead Acid Battery Importer:

NoRecognized Trader Exporter:

NoRecognized Trader Importer:

NoLarge Quantity Handler of Universal Waste:

Not reportedState District Owner:

Large Quantity GeneratorFederal Waste Generator Description:

TANDEM COMPUTERS LOC 1 (Continued) 1000186131
TC07984167.2r Page 624
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Not reportedType of Fuel:

WASTETank Used for:
00000600Tank Capacity:
1983Year Installed:

HF 1Container Num:
001Tank Num:
0002Total Tanks:

CUPERTINO, CA 95014Owner City,St,Zip:
19333 VALLCO PARKWAYOwner Address:

TANDEM COMPUTERS INC.Owner Name:
4089737311Telephone:

CLEM MOLONYContact Name:

COMPUTER ASSEMBLYOther Type:

OtherFacility Type:
00000045615Facility ID:

STATERegion:

Not reportedURL:

Not reportedFile Number:

CUPERTINO, CA 95014City,State,Zip:
19333 VALLCO PKWYAddress:

TANDEM LOCATION ONEName:

HIST UST:

Not reportedNumber Of Tanks:

Not reportedContent:

WASTESTG:

UNKNOWNTank Use:

Not reportedActive Date:
600Capacity:

Not reportedTank Status:
43-012-045615-000002SWRCB Tank Id:

Not reportedOwner Tank Id:

Not reportedCreated Date:

Not reportedAction Date:

Not reportedReferral Date:
44-026429Board Of Equalization:

Not reportedNumber:
45615Comp Number:

Not reportedStatus:

CUPERTINOCity:
19333 VALLCO PKYAddress:

TANDEM LOCATION ONEName:
2Number Of Tanks:

Not reportedContent:

WASTESTG:

UNKNOWNTank Use:

Not reportedActive Date:
600Capacity:

Not reportedTank Status:
43-012-045615-000001SWRCB Tank Id:

Not reportedOwner Tank Id:

Not reportedCreated Date:

Not reportedAction Date:

Not reportedReferral Date:
44-026429Board Of Equalization:

TANDEM COMPUTERS LOC 1 (Continued) 1000186131
TC07984167.2r Page 625
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
InactiveStatus:

Not reportedComments:

Not reportedEPA ID:

Not reportedNPDES Number:

Not reportedDUNs Number:

Not reportedContact Phone:

Not reportedContact:

CUPERTINO 95014Mailing City,St,Zip:

Not reportedMailing Address 2:
19333 VALLCO PKYMailing Address:

Not reportedMail To:
4089737311Facility Phone:

Not reportedSIC Code:

Not reportedCortese Code:
00045615Regulated ID:

UTNKIRegulated By:
43006547Facility ID:

CA FID UST:

VisualLeak Detection:
3/8Container Construction Thickness:

Not reportedType of Fuel:

WASTETank Used for:
00000600Tank Capacity:
1983Year Installed:

FL 2Container Num:
002Tank Num:

VisualLeak Detection:
3/8Container Construction Thickness:

TANDEM COMPUTERS LOC 1 (Continued) 1000186131
19333 VALLCO PARKWAYAddress:

FORMER TANDEM / APPLEName:

CPS-SLIC:

Not reportedDate Post Remedial Action Monitoring Began:

Not reportedDate Remedial Action Underway:

Not reportedDate Remediation Plan Submitted:

Not reportedDate Pollution Characterization Began:

Not reportedDate Preliminary Site Assessment Began:

Not reportedDate Prelim Site Assmnt Workplan Submitted:

Not reportedDate Confirmed:

Not reportedLeak Source:

Not reportedLeak Cause:

Not reportedHow Discovered:

Not reportedLocal Case #:

Not reportedDate Closed:

Not reportedFacility Status:

SL18235653Facility ID:
2Region:

SLIC REG 2:
1675 ft. Site 2 of 2 in cluster Q

0.317 mi. CERS
Relative:

Lower
Actual:
184 ft.

1/4-1/2 HIST USTCUPERTINO, CA 95014
NE BROWNFIELDS19333 VALLCO PARKWAY N/A
Q124 CPS-SLICFORMER TANDEM / APPLE S106235122
TC07984167.2r Page 626
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Indoor Air, Soil, Soil VaporMedia of Concern:

Not reportedContaminant(s) of Concern:

Surface DischargeRelease Type:
08/31/2011Last Correspondence Date:

SAN FRANCISCO BAY RWQCB (REGION 2)Lead Agency:
08/31/2010Status Date:

Completed - Case ClosedStatus:

Cleanup Program SiteProject Type:
-122.009346Longitude:

37.326408Latitude:

T10000000740Global ID:

CUPERTINO, CA 95014City,State,Zip:
19333 VALLCO PARKWAYAddress:

FORMER TANDEM / APPLEName:

BROWNFIELDS:

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

Not reportedSite History:

Not reportedClaim Status:

Not reportedClaim No:

SAN FRANCISCO BAY RWQCB (REGION 2)RWQCB Region:

Not reportedFacility Project Subtype:

NoMilitary DOD Site:
15-20%CA Enviroscreen 4 Score:
26-30%CA Enviroscreen 3 Score:

Not reportedDisadvantaged Community:

Santa Clara Valley - Santa Clara (2-009.02)Dwr Groundwater Subbasin Name:

Santa Clara - Palo Alto (205.50)CA Water Watershed Name:
08/31/2010No Further Action Date:

Remedial ExcavationStop Description:

Other MeansStop Method:

SpillDischarge Cause:

OtherDischarge Source:

Site Investigation - 2008How Discovered Description:

Not reportedHow Discovered:
01/01/1978Leak Reported Date:
01/01/1978Begin Date:

Not reportedQuantity Released Gallons:

Manual Entry on ScreensCoordinate Source:
9EPA Region:

Not reportedPotential Contaminants of Concern:

Indoor Air, Soil, Soil VaporPotential Media Affected:

Regional BoardFile Location:
43S1129RB Case Number:

Not reportedLocal Agency:

RWPCase Worker:

Cleanup Program SiteCase Type:
-122.009346Longitude:

37.326408Latitude:

Not reportedLead Agency Case Number:

SAN FRANCISCO BAY RWQCB (REGION 2)Lead Agency:

T10000000740Global Id:
08/31/2010Status Date:

Completed - Case ClosedFacility Status:

STATERegion:

CUPERTINO, CA 95014City,State,Zip:

FORMER TANDEM / APPLE (Continued) S106235122
TC07984167.2r Page 627
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
CAAffiliation State:

OAKLANDAffiliation City:
1515 CLAY STREET, SUITE 1500Affiliation Address:

Not reportedEntity Title:

Roger Papler - SAN FRANCISCO BAY RWQCB (REGION 2)Entity Name:

Regional Board CaseworkerAffiliation Type Desc:

Affiliation:

Cleanup Program SiteCERS Description:

T10000000740CERS ID:
897249Site ID:

CUPERTINO, CA 95014City,State,Zip:
19333 VALLCO PARKWAYAddress:

FORMER TANDEM / APPLEName:

CERS:

Click here for Geo Tracker PDF:

Not reportedLeak Detection:

Not reportedContainer Construction Thickness:

Not reportedType of Fuel:

Not reportedTank Used for:

Not reportedTank Capacity:

Not reportedYear Installed:

Not reportedContainer Num:

Not reportedTank Num:

Not reportedTotal Tanks:

Not reportedOwner City,St,Zip:

Not reportedOwner Address:

Not reportedOwner Name:

Not reportedTelephone:

Not reportedContact Name:

Not reportedOther Type:

Not reportedFacility Type:

Not reportedFacility ID:

Not reportedRegion:

URL:
00020968File Number:

CUPERTINO, CA 95014City,State,Zip:
19333 VALLCO PARKWAYAddress:

TANDEM LOCATION ONEName:

HIST UST:
[email protected] Caseworker Email:

Not reportedPrimary Caseworker Address:

Not reportedPrimary Caseworker Address:

Not reportedPrimary Caseworker Address:
510-622-2435Primary Caseworker Phone Number:

SAN FRANCISCO BAY RWQCB (REGION 2)Primary Caseworker Organization Name:

Roger PaplerPrimary Caseworker Name:
06/09/2009Groundwater Migration Controlled Date:

UNDETERMINEDGroundwater Migration Controlled:
06/09/2009Human Health Exposure Controlled Date:

INSUFFICIENT DATAHuman Health Exposure Controlled:

MANUFACTURING - ELECTRONICPast Use(s) that Caused Contamination:

FORMER TANDEM / APPLE (Continued) S106235122
TC07984167.2r Page 628
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
,Affiliation Phone:

Not reportedAffiliation Zip:

Not reportedAffiliation Country:

Not reportedAffiliation State:

CUPERTINOAffiliation City:
1 INFINITE LOOPNA M/S 119-EHSAffiliation Address:

Not reportedEntity Title:

APPLENAEntity Name:

Property OwnerAffiliation Type Desc:
,Affiliation Phone:

Not reportedAffiliation Zip:

Not reportedAffiliation Country:

Not reportedAffiliation State:

CUPERTINOAffiliation City:
1 INFINITE LOOPNA M/S 119-EHSAffiliation Address:

Not reportedEntity Title:

JOHN SHULLEntity Name:

Environmental ContactAffiliation Type Desc:

Affiliation:

US EPA Air Emission Inventory System (EIS)CERS Description:
110042419362CERS ID:
451682Site ID:

CUPERTINO, CA 95014-2506City,State,Zip:
19333 VALLCO PARKWAYAddress:

APPLE, INC (VP02)Name:
,Affiliation Phone:

Not reportedAffiliation Zip:

Not reportedAffiliation Country:

FORMER TANDEM / APPLE (Continued) S106235122
11/21/1991Date Post Remedial Action Monitoring Began:

Not reportedDate Remediation Action Underway:

Not reportedPollution Remediation Plan Submitted:
11/21/1991Pollution Characterization Began:
2/8/1990Preliminary Site Assesment Began:

Not reportedPrelim. Site Assesment Wokplan Submitted:

LUSTOversight Program:

Not reportedDate Leak Confirmed:

Not reportedLeak Source:

Not reportedLeak Cause:

Not reportedHow Discovered:
07S1W18B01fCase Number:

Case ClosedFacility Status:

Not reportedFacility Id:
2Region:

LUST REG 2:
1893 ft. CorteseSite 1 of 4 in cluster R

0.359 mi. CA FID UST
Relative:

Lower
Actual:
180 ft.

1/4-1/2 SWEEPS USTCUPERTINO, CA 95014
NNE HIST LUST10150 N WOLFE RD N/A
R125 LUSTJ. C. PENNEY CO., INC. S101624887
TC07984167.2r Page 629
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Not reportedDUNs Number:

Not reportedContact Phone:

Not reportedContact:

CUPERTINO 95014Mailing City,St,Zip:

Not reportedMailing Address 2:
10150 N WOLFE RDMailing Address:

Not reportedMail To:
4084469600Facility Phone:

Not reportedSIC Code:

Not reportedCortese Code:
00037048Regulated ID:

UTNKIRegulated By:
43000857Facility ID:

CA FID UST:
1Number Of Tanks:

DIESELContent:

PRODUCTSTG:

M.V. FUELTank Use:

Not reportedActive Date:
350Capacity:

Not reportedTank Status:
43-012-037048-000001SWRCB Tank Id:

Not reportedOwner Tank Id:

Not reportedCreated Date:

Not reportedAction Date:

Not reportedReferral Date:
44-026427Board Of Equalization:

Not reportedNumber:
37048Comp Number:

Not reportedStatus:

CUPERTINOCity:
10150 N WOLFE RDAddress:

J. C. PENNEY CO., INC.Name:

SWEEPS UST:
1994-09-01 00:00:00Closed Date:
1990-01-01 00:00:00Date Listed:

SCVWDOversite Agency:
07S1W18B01SCVWD ID:
2Region Code:

SANTA CLARARegion:

CupertinoCity:
10150 N Wolfe RdAddress:

J.C. PenneyName:

HIST LUST SC:
07S1W18B01FEDR Link ID:
09/01/1994Date Closed:
07S1W18B01FSCVWD ID:

SANTA CLARARegion:

CUPERTINO, CACity,State,Zip:
10150 N WOLFE RDAddress:

J.C. PENNEYName:

LUST SANTA CLARA:

J. C. PENNEY CO., INC. (Continued) S101624887
TC07984167.2r Page 630
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Active OpenFile Name:

Not reportedWaste Management Uit Name:

Not reportedSolid Waste Id No:

Not reportedWID Id:

Not reportedRegion 2:

Not reportedEffective Date:

Not reportedWaste Discharge System No:

Not reportedOrder No:
activeFlag:

Not reportedSwat R:

Not reportedEnf Type:

Not reportedOwner:

Not reportedLongitude:

Not reportedLatitude:

Not reportedSite Code:

Not reportedStatus Date:

COMPLETED - CASE CLOSEDCleanup Status:

LUST CLEANUP SITESite/Facility Type:

T0608500770Global ID:

Not reportedEnvirostor Id:

CORTESERegion:

CUPERTINO, CA 95014City,State,Zip:
10150 N WOLFE RDAddress:

J.C. PENNEYName:

CORTESE:

InactiveStatus:

Not reportedComments:

Not reportedEPA ID:

Not reportedNPDES Number:

J. C. PENNEY CO., INC. (Continued) S101624887
DieselPotential Contaminants of Concern:

Aquifer used for drinking water supplyPotential Media Affect:

Not reportedLocal Case Number:

All Files are on GeoTracker or in the Local Agency DatabaseFile Location:

SANTA CLARA COUNTY LOPLocal Agency:

Not reportedRB Case Number:

DEHCase Worker:
09/01/1994Status Date:

Completed - Case ClosedStatus:
-122.0134Longitude:

37.3259Latitude:

T0608500770Global Id:

Geo Track:

LUST Cleanup SiteCase Type:

SANTA CLARA COUNTY LOPLead Agency:

CUPERTINO, CA 95014City,State,Zip:
10150 N WOLFE RDAddress:

J.C. PENNEYName:

LUST:
1893 ft. Site 2 of 4 in cluster R

0.359 mi.

Relative:

Lower
Actual:
180 ft.

1/4-1/2 CERSCUPERTINO, CA 95014
NNE HIST UST10150 N WOLFE RD N/A
R126 LUSTJ.C. PENNEY U001600997
TC07984167.2r Page 631
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
11/16/1989Date:

OtherAction Type:

T0608500770Global Id:

Notice of Responsibility - #39593Action:
02/15/1990Date:

ENFORCEMENTAction Type:

T0608500770Global Id:

ExcavationAction:
11/15/1989Date:

REMEDIATIONAction Type:

T0608500770Global Id:

LUST:

Not reportedPhone Number:

Not reportedEmail:

OAKLANDCity:
1515 CLAY ST SUITE 1400Address:

SAN FRANCISCO BAY RWQCB (REGION 2)Organization Name:

Regional Water BoardContact Name:

Regional Board CaseworkerContact Type:

T0608500770Global Id:
4089183400Phone Number:
[email protected]:

SAN JOSECity:
1555 Berger Drive, Suite 300Address:

SANTA CLARA COUNTY LOPOrganization Name:

DEH CASEWORKERContact Name:

Local Agency Caseworker - Primary CaseworkerContact Type:

T0608500770Global Id:

LUST:

Not reportedSite History:

Not reportedClaim Status:

Not reportedClaim Number:

SAN FRANCISCO BAY RWQCB (REGION 2)RWQCB Region:

Not reportedFacility Project Subtype:

NoMilitary DOD Site:
15-20%CA Enviroscreen 4 Score:
26-30%CA Enviroscreen 3 Score:

Not reportedDisadvantaged Community:

Santa Clara Valley - Santa Clara (2-009.02)Dwr Groundwater Subbasin Name:

Santa Clara - Palo Alto (205.50)CA Water Watershed Name:
09/01/1994No Further Action Date:

Not reportedStop Description:

Not reportedStop Method:

Not reportedDischarge Cause:

Not reportedDischarge Source:

Not reportedHow Discovered Description:

Not reportedHow Discovered:
11/16/1989Leak Reported Date:
11/16/1989Begin Date:

Not reportedQuantity Released Gallons:
* Digitized From APN (Acessor Parcel Maps)Coordinate Source:
9EPA Region:

J.C. PENNEY (Continued) U001600997
TC07984167.2r Page 632
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
PRODUCTTank Used for:
00000350Tank Capacity:
1984Year Installed:
#4-125773Container Num:
001Tank Num:
0001Total Tanks:

CUPERTINO, CA 95014Owner City,St,Zip:
10150 NO. WOLFE RD.Owner Address:

J. C. PENNEY CO., INC.Owner Name:
4084469600Telephone:

RALPH LEWANDOWSKIContact Name:

STOREOther Type:

OtherFacility Type:
00000037048Facility ID:

STATERegion:

Not reportedURL:

Not reportedFile Number:

CUPERTINO, CA 95014City,State,Zip:
10150 N WOLFE RDAddress:

J. C. PENNEY CO., INC.Name:

HIST UST:
09/01/1994Status Date:

Completed - Case ClosedStatus:

T0608500770Global Id:
11/21/1991Status Date:

Open - Verification MonitoringStatus:

T0608500770Global Id:
11/21/1991Status Date:

Open - Site AssessmentStatus:

T0608500770Global Id:
02/08/1990Status Date:

Open - Site AssessmentStatus:

T0608500770Global Id:
11/16/1989Status Date:

Open - Case Begin DateStatus:

T0608500770Global Id:

LUST:

Closure/No Further Action LetterAction:
09/01/1994Date:

ENFORCEMENTAction Type:

T0608500770Global Id:

Other Report / DocumentAction:
07/18/1994Date:

RESPONSEAction Type:

T0608500770Global Id:

Leak ReportedAction:

J.C. PENNEY (Continued) U001600997
TC07984167.2r Page 633
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
,Affiliation Phone:

Not reportedAffiliation Zip:

Not reportedAffiliation Country:

CAAffiliation State:

OAKLANDAffiliation City:
1515 CLAY ST SUITE 1400Affiliation Address:

Not reportedEntity Title:

Regional Water Board - SAN FRANCISCO BAY RWQCB (REGION 2)Entity Name:

Regional Board CaseworkerAffiliation Type Desc:
4089183400,Affiliation Phone:

Not reportedAffiliation Zip:

Not reportedAffiliation Country:

CAAffiliation State:

SAN JOSEAffiliation City:
1555 Berger Drive, Suite 300Affiliation Address:

Not reportedEntity Title:

DEH CASEWORKER - SANTA CLARA COUNTY LOPEntity Name:

Local Agency CaseworkerAffiliation Type Desc:

Affiliation:

Leaking Underground Storage Tank Cleanup SiteCERS Description:

T0608500770CERS ID:
871440Site ID:

CUPERTINO, CA 95014City,State,Zip:
10150 N WOLFE RDAddress:

J.C. PENNEYName:

CERS:

VisualLeak Detection:
12Container Construction Thickness:

DIESELType of Fuel:

J.C. PENNEY (Continued) U001600997
Not reportedSPA Facility Type:

Not reportedSPA Water Type:

Not reportedSPA PWS Facility ID:

NoWithin SPA:

Developed, High IntensityLand Use:
0Domestic Wells within 1500ft:
842Population within 1500ft:

Not reportedSubstance:

No Further ActionStatus:

Not reportedReported Date:

StreetAddressAddress Match Type:

CUPERTINO, CA 95014City,State,Zip:
10150 N WOLFE RDAddress:

J.C. PENNEYName:

CAT0608500770Lust ID:

Not reportedFacility ID:
44910Object ID:

UST FINDER RELEASE:
1893 ft. Site 3 of 4 in cluster R

0.359 mi.

Relative:

Lower
Actual:
180 ft.

1/4-1/2 CUPERTINO, CA 95014
NNE 10150 N WOLFE RD N/A
R127 UST FINDER RELEASEJ.C. PENNEY 1029004387
TC07984167.2r Page 634
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
-122.014169999999Longitude:

37.3271799999999Latitude:

37.3271800000001Y Coord:
-122.01417X Coord:

GeocodeCoordinate Source:

Not reportedClosed With Residual Contaminate:

Not reportedNFA Letter 4:

Not reportedNFA Letter 3:

Not reportedNFA Letter 2:

Not reportedNFA Letter 1:
9EPA Region:

Not reportedTribe:

NoWithin 100yr Floodplain:

Not reportedWHPA HUC12:

Not reportedWHPA Facility Type:

Not reportedWHPA Water Type:

Not reportedWHPA PWS Facility ID:

NoWithin WHPA:

Not reportedSPA HUC12:

J.C. PENNEY (Continued) 1029004387
43-0743Reg Id:

LTNKAReg By:
43Facility County Code:

CORTESERegion:

CUPERTINO, CA 95014City,State,Zip:
10150 WOLFEedr_fadd1:

JC PENNEYedr_fname:

HIST CORTESE:
1893 ft. Site 4 of 4 in cluster R

0.359 mi.

Relative:

Lower
Actual:
180 ft.

1/4-1/2 CUPERTINO, CA 95014
NNE 10150 WOLFE N/A
R128 HIST CORTESEJC PENNEY S104396931
NoWithin SPA:

Developed, Medium IntensityLand Use:
0Domestic Wells within 1500ft:
2387Population within 1500ft:

Not reportedSubstance:

No Further ActionStatus:

Not reportedReported Date:

PointAddressAddress Match Type:

CUPERTINO, CA 95014City,State,Zip:
19990 STEVENS CREEK BLVDAddress:

SHELLName:

CAT0608501271Lust ID:

Not reportedFacility ID:
44789Object ID:

UST FINDER RELEASE:
1919 ft. Site 1 of 5 in cluster S

0.363 mi.

Relative:

Higher
Actual:
207 ft.

1/4-1/2 CUPERTINO, CA 95014
West 19990 STEVENS CREEK BLVD N/A
S129 UST FINDER RELEASESHELL 1029106640
TC07984167.2r Page 635
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
-122.022909999999Longitude:

37.32283Latitude:

37.3228300000001Y Coord:
-122.02291X Coord:

GeocodeCoordinate Source:

Not reportedClosed With Residual Contaminate:

Not reportedNFA Letter 4:

Not reportedNFA Letter 3:

Not reportedNFA Letter 2:

Not reportedNFA Letter 1:
9EPA Region:

Not reportedTribe:

NoWithin 100yr Floodplain:

Not reportedWHPA HUC12:

Not reportedWHPA Facility Type:

Not reportedWHPA Water Type:

Not reportedWHPA PWS Facility ID:

NoWithin WHPA:

Not reportedSPA HUC12:

Not reportedSPA Facility Type:

Not reportedSPA Water Type:

Not reportedSPA PWS Facility ID:

SHELL (Continued) 1029106640
Not reportedDischarge Cause:

Not reportedDischarge Source:

Not reportedHow Discovered Description:

Not reportedHow Discovered:
02/17/1989Leak Reported Date:
02/17/1989Begin Date:

Not reportedQuantity Released Gallons:
* Digitized From APN (Acessor Parcel Maps)Coordinate Source:
9EPA Region:

GasolinePotential Contaminants of Concern:

SoilPotential Media Affect:

Not reportedLocal Case Number:

All Files are on GeoTracker or in the Local Agency DatabaseFile Location:

SANTA CLARA COUNTY LOPLocal Agency:

Not reportedRB Case Number:

DEHCase Worker:
11/21/1995Status Date:

Completed - Case ClosedStatus:
-122.022008Longitude:

37.3225Latitude:

T0608501271Global Id:

Geo Track:

LUST Cleanup SiteCase Type:

SANTA CLARA COUNTY LOPLead Agency:

CUPERTINO, CA 95014City,State,Zip:
19990 STEVENS CREEK BLVDAddress:

SHELLName:

LUST:
1919 ft. CERSSite 2 of 5 in cluster S

0.363 mi. Notify 65
Relative:

Higher
Actual:
207 ft.

1/4-1/2 CorteseCUPERTINO, CA 95014
West HIST UST19990 STEVENS CREEK ROAD N/A
S130 LUSTUSA PETROLEUM COMPANY 214 S100178732
TC07984167.2r Page 636
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
RESPONSEAction Type:

T0608501271Global Id:

Leak ReportedAction:
02/17/1989Date:

OtherAction Type:

T0608501271Global Id:

Notice of Responsibility - #39594Action:
03/25/1991Date:

ENFORCEMENTAction Type:

T0608501271Global Id:

Soil Vapor Extraction (SVE)Action:
02/17/1989Date:

REMEDIATIONAction Type:

T0608501271Global Id:

ExcavationAction:
02/17/1989Date:

REMEDIATIONAction Type:

T0608501271Global Id:

LUST:

Not reportedPhone Number:

Not reportedEmail:

OAKLANDCity:
1515 CLAY ST SUITE 1400Address:

SAN FRANCISCO BAY RWQCB (REGION 2)Organization Name:

Regional Water BoardContact Name:

Regional Board CaseworkerContact Type:

T0608501271Global Id:
4089183400Phone Number:
[email protected]:

SAN JOSECity:
1555 Berger Drive, Suite 300Address:

SANTA CLARA COUNTY LOPOrganization Name:

DEH CASEWORKERContact Name:

Local Agency Caseworker - Primary CaseworkerContact Type:

T0608501271Global Id:

LUST:

Not reportedSite History:

Not reportedClaim Status:

Not reportedClaim Number:

SAN FRANCISCO BAY RWQCB (REGION 2)RWQCB Region:

Not reportedFacility Project Subtype:

NoMilitary DOD Site:
15-20%CA Enviroscreen 4 Score:
31-35%CA Enviroscreen 3 Score:

Not reportedDisadvantaged Community:

Santa Clara Valley - Santa Clara (2-009.02)Dwr Groundwater Subbasin Name:

Santa Clara - Palo Alto (205.50)CA Water Watershed Name:
11/21/1995No Further Action Date:

Not reportedStop Description:

Not reportedStop Method:

USA PETROLEUM COMPANY 214 (Continued) S100178732
TC07984167.2r Page 637
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
07/19/2005No Further Action Date:

Not reportedStop Description:

Not reportedStop Method:

Not reportedDischarge Cause:

Not reportedDischarge Source:

Not reportedHow Discovered Description:

Not reportedHow Discovered:
06/13/2003Leak Reported Date:
02/28/2003Begin Date:
0Quantity Released Gallons:

Manual Entry on ScreensCoordinate Source:
9EPA Region:

GasolinePotential Contaminants of Concern:

Other Groundwater (uses other than drinking water)Potential Media Affect:
07S1W18M01fLocal Case Number:

All Files are on GeoTracker or in the Local Agency DatabaseFile Location:

Not reportedLocal Agency:

Not reportedRB Case Number:

Not reportedCase Worker:
07/19/2005Status Date:

Completed - Case ClosedStatus:
-122.022955Longitude:

37.3225943333333Latitude:

T0608514737Global Id:

Geo Track:

LUST Cleanup SiteCase Type:

SANTA CLARA COUNTY LOPLead Agency:

CUPERTINO, CA 95014City,State,Zip:
19990 STEVENS CREEK BOULEVARDAddress:

SHELLName:
11/21/1995Status Date:

Completed - Case ClosedStatus:

T0608501271Global Id:
12/10/1989Status Date:

Open - Site AssessmentStatus:

T0608501271Global Id:
02/17/1989Status Date:

Open - Site AssessmentStatus:

T0608501271Global Id:
02/17/1989Status Date:

Open - Case Begin DateStatus:

T0608501271Global Id:

LUST:

Closure/No Further Action LetterAction:
11/21/1995Date:

ENFORCEMENTAction Type:

T0608501271Global Id:

Other Report / DocumentAction:
08/19/1994Date:

USA PETROLEUM COMPANY 214 (Continued) S100178732
TC07984167.2r Page 638
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Closure/No Further Action LetterAction:
07/19/2005Date:

ENFORCEMENTAction Type:

T0608514737Global Id:

Staff Letter - #45987Action:
11/08/2004Date:

ENFORCEMENTAction Type:

T0608514737Global Id:

Staff Letter - #44933Action:
08/31/2004Date:

ENFORCEMENTAction Type:

T0608514737Global Id:

Soil and Water Investigation WorkplanAction:
09/28/2004Date:

RESPONSEAction Type:

T0608514737Global Id:

Not reportedAction:
02/28/2003Date:

REMEDIATIONAction Type:

T0608514737Global Id:

Closure/No Further Action Letter - #50917Action:
07/19/2005Date:

ENFORCEMENTAction Type:

T0608514737Global Id:

Notice of Responsibility - #40138Action:
08/31/2004Date:

ENFORCEMENTAction Type:

T0608514737Global Id:

LUST:

Not reportedPhone Number:

Not reportedEmail:

OAKLANDCity:
1515 CLAY ST SUITE 1400Address:

SAN FRANCISCO BAY RWQCB (REGION 2)Organization Name:

Regional Water BoardContact Name:

Regional Board CaseworkerContact Type:

T0608514737Global Id:

LUST:

Not reportedSite History:

ActiveClaim Status:
5114Claim Number:

SAN FRANCISCO BAY RWQCB (REGION 2)RWQCB Region:

Not reportedFacility Project Subtype:

NoMilitary DOD Site:
15-20%CA Enviroscreen 4 Score:
31-35%CA Enviroscreen 3 Score:

Not reportedDisadvantaged Community:

Santa Clara Valley - Santa Clara (2-009.02)Dwr Groundwater Subbasin Name:

Santa Clara - Palo Alto (205.50)CA Water Watershed Name:

USA PETROLEUM COMPANY 214 (Continued) S100178732
TC07984167.2r Page 639
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
RESPONSEAction Type:

T0608514737Global Id:

Well Destruction ReportAction:
08/29/2005Date:

RESPONSEAction Type:

T0608514737Global Id:

Well Installation ReportAction:
06/13/2002Date:

RESPONSEAction Type:

T0608514737Global Id:

Other Report / DocumentAction:
01/21/2004Date:

RESPONSEAction Type:

T0608514737Global Id:

Other Report / DocumentAction:
02/09/2005Date:

RESPONSEAction Type:

T0608514737Global Id:

Soil and Water Investigation ReportAction:
10/19/2001Date:

RESPONSEAction Type:

T0608514737Global Id:

Other Report / DocumentAction:
08/25/2004Date:

RESPONSEAction Type:

T0608514737Global Id:

Monitoring Report - QuarterlyAction:
01/20/2005Date:

RESPONSEAction Type:

T0608514737Global Id:

Monitoring Report - QuarterlyAction:
07/08/2004Date:

RESPONSEAction Type:

T0608514737Global Id:

Monitoring Report - QuarterlyAction:
03/04/2005Date:

RESPONSEAction Type:

T0608514737Global Id:

Soil and Water Investigation ReportAction:
10/19/2001Date:

RESPONSEAction Type:

T0608514737Global Id:

Soil and Water Investigation ReportAction:
02/08/2005Date:

RESPONSEAction Type:

T0608514737Global Id:

USA PETROLEUM COMPANY 214 (Continued) S100178732
TC07984167.2r Page 640
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
02/28/2003Status Date:

Open - Case Begin DateStatus:

T0608514737Global Id:

LUST:

Preliminary Site Assessment ReportAction:
02/08/2005Date:

RESPONSEAction Type:

T0608514737Global Id:

Leak ReportedAction:
06/13/2003Date:

OtherAction Type:

T0608514737Global Id:

Other Report / DocumentAction:
04/12/1983Date:

RESPONSEAction Type:

T0608514737Global Id:

Monitoring Report - QuarterlyAction:
01/20/2005Date:

RESPONSEAction Type:

T0608514737Global Id:

Monitoring Report - QuarterlyAction:
01/20/2004Date:

RESPONSEAction Type:

T0608514737Global Id:

Monitoring Report - QuarterlyAction:
09/26/2003Date:

RESPONSEAction Type:

T0608514737Global Id:

Monitoring Report - QuarterlyAction:
04/13/2004Date:

RESPONSEAction Type:

T0608514737Global Id:

Soil and Water Investigation WorkplanAction:
10/27/2004Date:

RESPONSEAction Type:

T0608514737Global Id:

Other WorkplanAction:
02/04/2003Date:

RESPONSEAction Type:

T0608514737Global Id:

CorrespondenceAction:
12/26/2002Date:

RESPONSEAction Type:

T0608514737Global Id:

Other Report / DocumentAction:
02/24/2006Date:

USA PETROLEUM COMPANY 214 (Continued) S100178732
TC07984167.2r Page 641
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Not reportedOrder No:
activeFlag:

Not reportedSwat R:

Not reportedEnf Type:

Not reportedOwner:

Not reportedLongitude:

Not reportedLatitude:

Not reportedSite Code:

Not reportedStatus Date:

COMPLETED - CASE CLOSEDCleanup Status:

LUST CLEANUP SITESite/Facility Type:

T0608514737Global ID:

Not reportedEnvirostor Id:

CORTESERegion:

CUPERTINO, CA 95014City,State,Zip:
19990 STEVENS CREEK BOULEVARDAddress:

SHELLName:

CORTESE:

Click here for Geo Tracker PDF:

Not reportedLeak Detection:

Not reportedContainer Construction Thickness:

Not reportedType of Fuel:

Not reportedTank Used for:

Not reportedTank Capacity:

Not reportedYear Installed:

Not reportedContainer Num:

Not reportedTank Num:

Not reportedTotal Tanks:

Not reportedOwner City,St,Zip:

Not reportedOwner Address:

Not reportedOwner Name:

Not reportedTelephone:

Not reportedContact Name:

Not reportedOther Type:

Not reportedFacility Type:

Not reportedFacility ID:

Not reportedRegion:

URL:
00020a65File Number:

CUPERTINO, CA 95014City,State,Zip:
19990 STEVENS CREEK ROADAddress:

USA PETROLEUM COMPANY 214Name:

HIST UST:
07/19/2005Status Date:

Completed - Case ClosedStatus:

T0608514737Global Id:
02/28/2003Status Date:

Open - Site AssessmentStatus:

T0608514737Global Id:

USA PETROLEUM COMPANY 214 (Continued) S100178732
TC07984167.2r Page 642
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
,Affiliation Phone:

Not reportedAffiliation Zip:

Not reportedAffiliation Country:

CAAffiliation State:

OAKLANDAffiliation City:
1515 CLAY ST SUITE 1400Affiliation Address:

Not reportedEntity Title:

Regional Water Board - SAN FRANCISCO BAY RWQCB (REGION 2)Entity Name:

Regional Board CaseworkerAffiliation Type Desc:

Affiliation:

Leaking Underground Storage Tank Cleanup SiteCERS Description:

T0608514737CERS ID:
886908Site ID:

CUPERTINO, CA 95014City,State,Zip:
19990 STEVENS CREEK BOULEVARDAddress:

SHELLName:

CERS:

Not reportedStatus:

Not reportedGlobal ID:

Not reportedIncident Description:

Not reportedIssue Date:

Not reportedDischarge Date:

Not reportedFacility Type:

Not reportedBoard File Number:

Not reportedStaff Initials:

Not reportedDate Reported:

CUPERTINO, CA 93043City,State,Zip:
19990 STEVENS CREEKAddress:

SHELL SERVICE STATIONName:

NOTIFY 65:

Active OpenFile Name:

Not reportedWaste Management Uit Name:

Not reportedSolid Waste Id No:

Not reportedWID Id:

Not reportedRegion 2:

Not reportedEffective Date:

Not reportedWaste Discharge System No:

USA PETROLEUM COMPANY 214 (Continued) S100178732
Not reportedReported Date:

PointAddressAddress Match Type:

CUPERTINO, CA 95014City,State,Zip:
19990 STEVENS CREEK BOULEVARDAddress:

SHELLName:

CAT0608514737Lust ID:

Not reportedFacility ID:
44790Object ID:

UST FINDER RELEASE:
1919 ft. Site 3 of 5 in cluster S

0.363 mi.

Relative:

Higher
Actual:
207 ft.

1/4-1/2 CUPERTINO, CA 95014
West 19990 STEVENS CREEK BOULEVARD N/A
S131 UST FINDER RELEASESHELL 1029106641
TC07984167.2r Page 643
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
-122.022909999999Longitude:

37.32283Latitude:

37.3228300000001Y Coord:
-122.02291X Coord:

GeocodeCoordinate Source:

Not reportedClosed With Residual Contaminate:

Not reportedNFA Letter 4:

Not reportedNFA Letter 3:

Not reportedNFA Letter 2:

Not reportedNFA Letter 1:
9EPA Region:

Not reportedTribe:

NoWithin 100yr Floodplain:

Not reportedWHPA HUC12:

Not reportedWHPA Facility Type:

Not reportedWHPA Water Type:

Not reportedWHPA PWS Facility ID:

NoWithin WHPA:

Not reportedSPA HUC12:

Not reportedSPA Facility Type:

Not reportedSPA Water Type:

Not reportedSPA PWS Facility ID:

NoWithin SPA:

Developed, Medium IntensityLand Use:
0Domestic Wells within 1500ft:
2387Population within 1500ft:

Not reportedSubstance:

No Further ActionStatus:

SHELL (Continued) 1029106641
Not reportedState District Owner:

Handler ActivitiesActive Site Indicator:

Not reportedAccessibility:

Not reportedBiennial Report Cycle:

Not reportedNon-Notifier:

Small Quantity GeneratorFederal Waste Generator Description:

PrivateLand Type:
09EPA Region:

Not reportedContact Title:

Not reportedContact Email:

Not reportedContact Fax:
713-241-5036Contact Telephone:

HOUSTON, TX 77252-2099Contact City,State,Zip:

P O BOX 2099Contact Address:

SONDRA BIENVENUContact Name:

CAR000098723EPA ID:

CUPERTINO, CA 95014Handler City,State,Zip:
19990 Stevens CreekHandler Address:

Shell Service StationHandler Name:
20010619Date Form Received by Agency:

RCRA Listings:

CERS
HAZNET
1919 ft. HWTSSite 4 of 5 in cluster S

0.363 mi. ECHO
Relative:

Higher
Actual:
207 ft.

1/4-1/2 FINDSCUPERTINO, CA 95014
West LUST19990 STEVENS CREEK CAR000098723
S132 RCRA-SQGSHELL SERVICE STATION 1004677548
TC07984167.2r Page 644
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
BenzeneWaste Description:

D018Waste Code:

Ignitable WasteWaste Description:

D001Waste Code:

Hazardous Waste Summary:

NoSub-Part P Indicator:

NoManifest Broker:

NoRecycler Activity Without Storage:

NoExporter of Spent Lead Acid Batteries:

NoImporter of Spent Lead Acid Batteries:

NoRecognized Trader-Exporter:

NoRecognized Trader-Importer:
20021007Handler Date of Last Change:

Not reportedFinancial Assurance Required:

NoSignificant Non-Complier With a Compliance Schedule Universe:

NoAddressed Significant Non-Complier Universe:

NoUnaddressed Significant Non-Complier Universe:

NoSignificant Non-Complier Universe:

N/AGroundwater Controls Indicator:

N/AHuman Exposure Controls Indicator:

NoInstitutional Control Indicator:

NoEnvironmental Control Indicator:

No NCAPS rankingCorrective Action Priority Ranking:

NoNon-TSDFs Where RCRA CA has Been Imposed Universe:

NoSubject to Corrective Action Universe:

No202 GPRA Corrective Action Baseline:

Not on the Baseline2018 GPRA Renewals Baseline:

Not on the Baseline2018 GPRA Permit Baseline:

Not reportedSub-Part K Indicator:

NHazardous Secondary Material Indicator:

Not reportedFederal Facility Indicator:
---Active Site State-Reg Handler:

NoFederal Universal Waste:

NoUniversal Waste Destination Facility:

NoUniversal Waste Indicator:

NoOff-Site Waste Receipt:

NoUnderground Injection Control:

NoSmelting Melting and Refining Furnace Exemption:

NoSmall Quantity On-Site Burner Exemption:

NoRecycler Activity with Storage:

NoTransfer Facility Activity:

NoTransporter Activity:

NoMixed Waste Generator:

NoImporter Activity:

NoShort-Term Generator Activity:

Not reportedOperator Type:

Not reportedOperator Name:

PrivateOwner Type:

Shell Oil CompanyOwner Name:

HOUSTON, TX 77252-2099Mailing City,State,Zip:

P O BOX 2099Mailing Address:

Not reportedState District:

SHELL SERVICE STATION (Continued) 1004677548
TC07984167.2r Page 645
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
07S1W18M01FEDR Link ID:
07/19/2005Date Closed:
07S1W18M01FSCVWD ID:

SANTA CLARARegion:

CUPERTINO, CACity,State,Zip:
19990 STEVENS CREEK BLVDAddress:

SHELLName:
07S1W18E01FEDR Link ID:
11/21/1995Date Closed:
07S1W18E01FSCVWD ID:

SANTA CLARARegion:

CUPERTINO, CACity,State,Zip:
19990 STEVENS CREEK BLVDAddress:

SHELLName:

LUST SANTA CLARA:

No Evaluations FoundEvaluations:

Evaluation Action Summary:

No Violations FoundViolations:

Facility Has Received Notices of Violations:

No NAICS Codes FoundNAICS Codes:

List of NAICS Codes and Descriptions:

Not reportedElectronic Manifest Broker:

Not reportedNon Storage Recycler Activity:

YesCurrent Record:

NoSpent Lead Acid Battery Exporter:

NoSpent Lead Acid Battery Importer:

NoRecognized Trader Exporter:

NoRecognized Trader Importer:

NoLarge Quantity Handler of Universal Waste:

Not reportedState District Owner:

Small Quantity GeneratorFederal Waste Generator Description:

SHELL SERVICE STATIONHandler Name:
20010619Receive Date:

Historic Generators:

Not reportedOwner/Operator Email:

Not reportedOwner/Operator Fax:

Not reportedOwner/Operator Telephone Ext:
713-241-5036Owner/Operator Telephone:

HOUSTON, TX 77252-2099Owner/Operator City,State,Zip:

P O BOX 2099Owner/Operator Address:

Not reportedDate Ended Current:

Not reportedDate Became Current:

PrivateLegal Status:

SHELL OIL COMPANYOwner/Operator Name:

OwnerOwner/Operator Indicator:

Handler - Owner Operator:

SHELL SERVICE STATION (Continued) 1004677548
TC07984167.2r Page 646
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation

37.322825Latitude:

FEDERALCategory:

PERMANENTFacility Type:

InactiveFacility Status:

Not reportedContact Fax:

Not reportedContact Phone:

BUFFALO, NY 14202City,State,Zip:

Not reportedContact Address 2:
285 DELAWARE AVE STE 500Contact Address:

TESSA BEMISContact Name:

Not reportedOwner Fax:

Not reportedOwner Phone:

HOUSTON, TX 772530000Owner City,State,Zip:

Not reportedOwner Address 2:

PO BOX 3127Owner Address:

DBA SHELL OIL PRODUCTS USOwner Name:

BUFFALO, NY 14202Mailing City,State,Zip:

Not reportedMailing Address 2:
285 DELAWARE AVE STE 500Mailing Address:

Not reportedMailing Name:

Not reportedLast Act Date:
03/04/2003Create Date:
09/14/2010Inactive Date:

CAR000098723EPA ID:

CUPERTINO, CA 95014City,State,Zip:

Not reportedAddress 2:
19990 STEVENS CREEK S A P 135216Address:

SHELL SERVICE STATIONName:

HWTS:

CUPERTINO, CA 95014City,State,Zip:
19990 STEVENS CREEKAddress:

SHELL SERVICE STATIONName:

DFR URL:
110012213256Registry ID:
1004677548Envid:

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) 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:
110012213256Registry ID:

FINDS:

SHELL SERVICE STATION (Continued) 1004677548
TC07984167.2r Page 647
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
Treatment/Reovery (H010-H129) Or (H131-H135)
H141 - Storage, Bulking, And/Or Transfer Off Site--NoDisposal Method:
352 - Other organic solidsCA Waste Code:

CAD008830290TSD EPA ID:

CAR000098723Gepaid:
2007Year:

0.0033Tons:

Treatment/Reovery (H010-H129) Or (H131-H135)
H141 - Storage, Bulking, And/Or Transfer Off Site--NoDisposal Method:
331 - Off-specification, aged or surplus organicsCA Waste Code:

CAD028409019TSD EPA ID:

CAR000098723Gepaid:
2007Year:

0.025Tons:

Treatment/Reovery (H010-H129) Or (H131-H135)
H141 - Storage, Bulking, And/Or Transfer Off Site--NoDisposal Method:
352 - Other organic solidsCA Waste Code:

CAD008302903TSD EPA ID:

CAR000098723Gepaid:
2008Year:

0.18765Tons:

H061 - Fuel Blending Prior To Energy Recovery At Another SiteDisposal Method:
241 - Tank bottom wasteCA Waste Code:

CAD008302903TSD EPA ID:

CAR000098723Gepaid:
2009Year:

PO Box 3127Mailing Address:

Not reportedMailing Name:
7132416992Telephone:

J. Traylor/ENV REPORTING ANALYSTContact:

CUPERTINO, CA 95014City,State,Zip:

Not reportedAddress 2:
19990 STEVENS CREEKAddress:

SHELL SERVICE STATIONName:

HAZNET:
95014Facility Zip:

CAFacility State:

Not reportedFacility County:

CUPERTINOFacility City:

S A P 135216Facility Address 2:
19990 STEVENS CREEKFacility Address:

SHELL SERVICE STATIONFacility Name:
2010-09-14 00:00:00Inactive Date:
2003-03-04 14:25:35.18700Issued EPA ID Date:

Gasoline Stations with Convenience StoresNAICS Description:
44711NAICS Code:
2004-10-20 10:23:57.043Create Date:

CAR000098723EPA ID:

NAICS:
-122.022995Longitude:

SHELL SERVICE STATION (Continued) 1004677548
TC07984167.2r Page 648
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
CAR000098723Gen EPA ID:
2008Year:

Additional Information:

Not reportedAdditional Code 5:

Not reportedAdditional Code 4:

Not reportedAdditional Code 3:

Not reportedAdditional Code 2:

Not reportedAdditional Code 1:

GQuantity Unit:
45Waste Quantity:

0.18765Quantity Tons:

H061 - Fuel Blending Prior To Energy Recovery At Another SiteMeth Code:

D001RCRA Code:
241 - Tank bottom waste 251 Still bottoms with halogenated organicsWaste Code Description:

Not reportedTSDF Alt Name:

Not reportedTSDF Alt EPA ID:

VEOLIA ES TECHNICAL SOLUTIONSTrans Name:

CAD008302903TSDF EPA ID:

Not reportedTrans 2 Name:

Not reportedTrans 2 EPA ID:

AMERICAN INTEGRATED SERVICES INCTrans Name:

CAR000148338Trans EPA ID:
004030260JJKManifest ID:
20090122Receipt Date:
3/10/2009 18:30:21Creation Date:
20090120Shipment Date:

CAR000098723Gen EPA ID:
2009Year:

Additional Information:

0.0125Tons:
-Disposal Method:
352 - Other organic solidsCA Waste Code:

CAD028409019TSD EPA ID:

CAR000098723Gepaid:
2001Year:

0.02Tons:

R01 - RecyclerDisposal Method:
352 - Other organic solidsCA Waste Code:

CAD982444481TSD EPA ID:

CAR000098723Gepaid:
2003Year:

0.025Tons:
-Disposal Method:
352 - Other organic solidsCA Waste Code:

WAD991281767TSD EPA ID:

CAR000098723Gepaid:
2004Year:

0.02Tons:

SHELL SERVICE STATION (Continued) 1004677548
TC07984167.2r Page 649
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
20071210Receipt Date:
3/4/2008 18:30:21Creation Date:
20071204Shipment Date:

Not reportedAdditional Code 5:

Not reportedAdditional Code 4:

Not reportedAdditional Code 3:

Not reportedAdditional Code 2:

Not reportedAdditional Code 1:

GQuantity Unit:
1Waste Quantity:

0.0033Quantity Tons:

Treatment/Reovery (H010-H129) Or (H131-H135)
H141 - Storage, Bulking, And/Or Transfer Off Site--NoMeth Code:

Not reportedRCRA Code:
331 - Off-specification, aged, or surplus organicsWaste Code Description:

Not reportedTSDF Alt Name:

Not reportedTSDF Alt EPA ID:

CROSBY & OVERTONTrans Name:

CAD028409019TSDF EPA ID:

Not reportedTrans 2 Name:

Not reportedTrans 2 EPA ID:

AMERICAN INTEGRATED SERVICES INCTrans Name:

CAR000148338Trans EPA ID:
000291756JJKManifest ID:
20071210Receipt Date:
3/4/2008 18:31:09Creation Date:
20071204Shipment Date:

CAR000098723Gen EPA ID:
2007Year:

Additional Information:

Not reportedAdditional Code 5:

Not reportedAdditional Code 4:

Not reportedAdditional Code 3:

Not reportedAdditional Code 2:

D001Additional Code 1:

PQuantity Unit:
50Waste Quantity:

0.025Quantity Tons:

Treatment/Reovery (H010-H129) Or (H131-H135)
H141 - Storage, Bulking, And/Or Transfer Off Site--NoMeth Code:

D018RCRA Code:
352 - Other organic solidsWaste Code Description:

Not reportedTSDF Alt Name:

Not reportedTSDF Alt EPA ID:

VEOLIA ES TECHNICAL SOLUTIONSTrans Name:

CAD008302903TSDF EPA ID:

Not reportedTrans 2 Name:

Not reportedTrans 2 EPA ID:

AMERICAN INTEGRATED SERVICES INCTrans Name:

CAR000148338Trans EPA ID:
004523826JJKManifest ID:
20081113Receipt Date:
12/16/2008 18:30:08Creation Date:
20081111Shipment Date:

SHELL SERVICE STATION (Continued) 1004677548
TC07984167.2r Page 650
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
6/23/2004 10:00:42Creation Date:
20030527Shipment Date:

CAR000098723Gen EPA ID:
2003Year:

Additional Information:

Not reportedAdditional Code 5:

Not reportedAdditional Code 4:

Not reportedAdditional Code 3:

Not reportedAdditional Code 2:

Not reportedAdditional Code 1:

PQuantity Unit:
50Waste Quantity:

0.025Quantity Tons:
- Not reportedMeth Code:

NARCRA Code:
352 - Other organic solidsWaste Code Description:

Not reportedTSDF Alt Name:

Not reportedTSDF Alt EPA ID:

BURLINGTON ENVIRONMENTAL INC KENTTrans Name:

WAD991281767TSDF EPA ID:

Not reportedTrans 2 Name:

Not reportedTrans 2 EPA ID:

PHILIP TRANSPORTATION & REMEDIATION INCTrans Name:

CAR000052803Trans EPA ID:
24203423Manifest ID:

Not reportedReceipt Date:
1/19/2005 18:31:03Creation Date:
20041025Shipment Date:

CAR000098723Gen EPA ID:
2004Year:

Additional Information:

Not reportedAdditional Code 5:

Not reportedAdditional Code 4:

Not reportedAdditional Code 3:

Not reportedAdditional Code 2:

D001Additional Code 1:

PQuantity Unit:
40Waste Quantity:

0.02Quantity Tons:

Treatment/Reovery (H010-H129) Or (H131-H135)
H141 - Storage, Bulking, And/Or Transfer Off Site--NoMeth Code:

D018RCRA Code:
352 - Other organic solidsWaste Code Description:

Not reportedTSDF Alt Name:

Not reportedTSDF Alt EPA ID:

VEOLIA ES TECHNICAL SOLUTIONSTrans Name:

CAD008830290TSDF EPA ID:

Not reportedTrans 2 Name:

Not reportedTrans 2 EPA ID:

AMERICAN INTEGRATED SERVICES INCTrans Name:

CAR000148338Trans EPA ID:
002918494JJKManifest ID:

SHELL SERVICE STATION (Continued) 1004677548
TC07984167.2r Page 651
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
T0608501271CERS ID:
871239Site ID:

CUPERTINO, CA 95014City,State,Zip:
19990 STEVENS CREEK BLVDAddress:

SHELLName:

CERS:

Not reportedAdditional Code 5:

Not reportedAdditional Code 4:

Not reportedAdditional Code 3:

Not reportedAdditional Code 2:

Not reportedAdditional Code 1:

PQuantity Unit:
25Waste Quantity:

0.0125Quantity Tons:
- Not reportedMeth Code:

D018RCRA Code:
352 - Other organic solidsWaste Code Description:

Not reportedTSDF Alt Name:

Not reportedTSDF Alt EPA ID:

Not reportedTrans Name:

CAD028409019TSDF EPA ID:

Not reportedTrans 2 Name:

Not reportedTrans 2 EPA ID:

Not reportedTrans Name:

CAR000006098Trans EPA ID:
20750638Manifest ID:

Not reportedReceipt Date:
10/3/2001 0:00:00Creation Date:
20010810Shipment Date:

CAR000098723Gen EPA ID:
2001Year:

Additional Information:

Not reportedAdditional Code 5:

Not reportedAdditional Code 4:

Not reportedAdditional Code 3:

Not reportedAdditional Code 2:

Not reportedAdditional Code 1:

PQuantity Unit:
40Waste Quantity:

0.02Quantity Tons:

R01 - RecyclerMeth Code:

Not reportedRCRA Code:
352 - Other organic solidsWaste Code Description:

Not reportedTSDF Alt Name:

CAD982444481TSDF Alt EPA ID:

Not reportedTrans Name:

CAD982444481TSDF EPA ID:

Not reportedTrans 2 Name:

UTD981552425Trans 2 EPA ID:

Not reportedTrans Name:

CAR000052803Trans EPA ID:
22697721Manifest ID:
20030530Receipt Date:

SHELL SERVICE STATION (Continued) 1004677548
TC07984167.2r Page 652
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
,Affiliation Phone:

Not reportedAffiliation Zip:

Not reportedAffiliation Country:

CAAffiliation State:

OAKLANDAffiliation City:
1515 CLAY ST SUITE 1400Affiliation Address:

Not reportedEntity Title:

Regional Water Board - SAN FRANCISCO BAY RWQCB (REGION 2)Entity Name:

Regional Board CaseworkerAffiliation Type Desc:
4089183400,Affiliation Phone:

Not reportedAffiliation Zip:

Not reportedAffiliation Country:

CAAffiliation State:

SAN JOSEAffiliation City:
1555 Berger Drive, Suite 300Affiliation Address:

Not reportedEntity Title:

DEH CASEWORKER - SANTA CLARA COUNTY LOPEntity Name:

Local Agency CaseworkerAffiliation Type Desc:

Affiliation:

Leaking Underground Storage Tank Cleanup SiteCERS Description:

SHELL SERVICE STATION (Continued) 1004677548
2/28/2003Preliminary Site Assesment Began:

Not reportedPrelim. Site Assesment Wokplan Submitted:

LUSTOversight Program:

Not reportedDate Leak Confirmed:

Not reportedLeak Source:

UnknownLeak Cause:

Not reportedHow Discovered:
07S1W18M01fCase Number:

Preliminary site assessment underwayFacility Status:

Not reportedFacility Id:
2Region:

Not reportedDate Post Remedial Action Monitoring Began:

Not reportedDate Remediation Action Underway:

Not reportedPollution Remediation Plan Submitted:
12/10/1989Pollution Characterization Began:
2/17/1989Preliminary Site Assesment Began:

Not reportedPrelim. Site Assesment Wokplan Submitted:

LUSTOversight Program:

Not reportedDate Leak Confirmed:

Not reportedLeak Source:

Not reportedLeak Cause:

Not reportedHow Discovered:
07S1W18E01fCase Number:

Case ClosedFacility Status:

Not reportedFacility Id:
2Region:

LUST REG 2:
1919 ft. Site 5 of 5 in cluster S

0.363 mi. HIST CORTESE
Relative:

Higher
Actual:
207 ft.

1/4-1/2 CorteseCUPERTINO, CA 94066
West HIST LUST19990 STEVENS CREEK N/A
S133 LUSTSHELL S100465486
TC07984167.2r Page 653
MAP FINDINGSMap ID
Direction
EDR ID NumberDistance
EPA ID NumberDatabase(s)SiteElevation
CUPERTINO, CA 94066City,State,Zip:
19990 STEVENS CREEKedr_fadd1:

SHELLedr_fname:

HIST CORTESE:

Active OpenFile Name:

Not reportedWaste Management Uit Name:

Not reportedSolid Waste Id No:

Not reportedWID Id:

Not reportedRegion 2:

Not reportedEffective Date:

Not reportedWaste Discharge System No:

Not reportedOrder No:
activeFlag:

Not reportedSwat R:

Not reportedEnf Type:

Not reportedOwner:

Not reportedLongitude:

Not reportedLatitude:

Not reportedSite Code:

Not reportedStatus Date:

COMPLETED - CASE CLOSEDCleanup Status:

LUST CLEANUP SITESite/Facility Type:

T0608501271Global ID:

Not reportedEnvirostor Id:

CORTESERegion:

CUPERTINO, CA 95014City,State,Zip:
19990 STEVENS CREEK BLVDAddress:

SHELLName:

CORTESE:

Not reportedClosed Date:
2004-08-25 00:00:00Date Listed:

SCCDEHOversite Agency:
07S1W18M01SCVWD ID:
2Region Code:

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