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Fax Server 8/6/2015 4 :01 :05 PM PAGE 46/046 Fax Server <br /> i 0 RECEIV.F <br /> QuE'oua �18111�VIIII�11��111 <br /> ENVIRONMENTAL SERVICES AUG 0s ZOIS <br /> SHIPPING 1.Genembr lD Number 2.Pagel a( 9.Emapmry Res 'e Phme 4.shlppeV <br /> DOCUMENTt <br /> C A L 0 0 0 3 7 6 9 0 6 1 (677)619-008'7 Z Ino-mT - <br /> s.t3enerabh MO W Meanrem PWP INDUSTRIES INC. am we lg mums' - r M <br /> DBA PACTIV LLC DHA PACTIV LLC <br /> 4545 pANTAS LANE 1110 PERFORMANCE DA <br /> Gem ws Phone: <br /> 709 483.6014 STOC ON, CA 95706 STOCKTON,CA 95206 <br /> C —sporter i Company Nam U.S.EPAID tgumm! <br /> VEOLIA ES TECHNICAL SOLUTIONS N 7 D 0 8 0 4 3 1 3 6 9 <br /> 7.Transpala2O .ay Name <br /> c�� US.®AID NL <br /> cnar <br /> AM> %F4ngjmsmrAI. SSWIiC,Q5. GATD001WZ4-Ll <br /> a.ueslWedF ty Nam and$11.Adrass L O US.EPA DNumber <br /> L.L.C. <br /> 1125 HENSLEY STREET <br /> Fantih'a Phone: <br /> 900 243.2387 RICHMOND,CA 94801 C A T 0 8 0 0 1 4 0 7 9 <br /> 91b.US.DOT DescroM(ndud'ng Pmper shipping Name,Nmad Cleu,ID Number, 10.Conldmra <br /> NM and Padang Group(8eny)) 11.Tdel 12.Unp 13.(Jades <br /> Nb. Type Cuadly N1lVa NUNZ <br /> OR I DM 200 P <br /> W <br /> W 2. <br /> e7 <br /> 3. <br /> 4. <br /> 14. pedal Xandilgm*utlMseMAddwoo Mramaeon <br /> 15, GENERATORS)OFFERORSCERTIFlCATION:I herebydedare aaaeanladsaWe censproma am fidyam acnualelydawihed abmm by ore proper shipping none,and we clasd8ed,padaped, <br /> marked and l baWfo,maded,and min all mspeda In propercom6mn 1nrtra apod a=dV toaaWWe intematlanala d mb'melgavenvnxaetragdakns. <br /> grata s a" moam Day ser <br /> N a,ay—t 0 112 7 1 3 <br /> F <br /> io.menumam S5pman4 <br /> Z ❑anpmtWUS. ❑Expod from U.S. PatolenitylemT: <br /> Tram mr mdn ran Damleavin US.: <br /> 17.Tmmpo WAdmmr aal;ymlll of Rampj of Wpwm <br /> mer P mm si9nJ1tm, Marl Day Yew <br /> 2 <br /> Fa K <br /> r �� <br /> T is.0 <br /> 1 10a.Dlsmrepawy lndcatlon Space 11 aanay ❑Type ❑Rmaldue ❑PadalRejedM ❑Fall Rejection <br /> Stu Document Tradarm NumSa: <br /> 1 Be.Allemate Fadfity(or Generator) US.EPAID Number <br /> U <br /> LL Fadone: <br /> T&—.%G1P1h7 aAaemm,F (o!Gemrabr) Minna Oay ger <br /> s <br /> s <br /> y7B.Repel Mmagemenl M*MC*h$(L9.,ageslatRmnenl,dlepmel,aMreeydFgsys ) <br /> p 1 /7, 2.1 1 3. 4. <br /> 20.Desgnaud Fadey OwmraOpam :GBSMUonalraeiplofshipwrdncWmnotad In Ilan18a <br /> Po Oey ea <br /> �. <br /> DESIGNATED FACIUTYTO GENERATOR <br />