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1111 31202 0 <br /> <br />Mail - Feliciano, Tony - Outlook <br /> <br />VEOLIA <br />ENVIRONMENTAL SERVICES flf11 111(1 1111111111111 GENERATOR . 1 SHIPPING <br />DOCUMENT <br />1 Canaan IC Number <br />R_EOUI RED <br />2 Pao I of <br />r <br />3 Emendant Pain,. Phone <br />(677)1318-0087 <br />4 Sn.ppkno Drtcurnenr Tratoing Number <br />ZZ 0 0 5 9 4 9 0 3 <br />5 Generators Name and seneraor's Sae Address Ode/gent Man rruseng address) gaLT <br />DAVID MCADAMS <br />CAM3ON CARBON SAME <br />3200 EAST 8 ME ROAD <br />STOCKTON, CA 95212 <br />Genenrtor's Phone. 4117 7R7-4791 I <br />&Transpolar 1 Covens Name U S EPA Oteternter <br />DILARD ENVIRONMENTAL SERVICES I C A 1) 9 0 2 !., 2 3 4 3 3 <br />7 Transporter 2 Company Name US EPA ID Number <br />I <br />8 Destinaled Facity Name and She Address US EPA ID Number <br />EAST DAY MUD (EBM) <br />2020 WAKE AVENUE <br />OAKLAND, CA C4607-5100 <br />Facer/s Phone' 510 95(5.7637 'NOT REQ 3 5 5 <br />9. Rs US DOT Descrabon (exhaling Precer Shcbing Name Hazard *As 0 %unbar 10 Containers 11 Total 12. UM 13. Coda <br />Km at Padan Sneer(I ani11 Pa yr. Quantrty WiNo1. <br />' Noiv-iuszkR000s LIQUID. (WATER; NONE <br />1 I T 1. 0 13 0 G <br />2 <br />i <br />4 , , ..., -IA ,,arvi MI ,na.^2c1idro ad /Adana inlarnatan ER Serb iCb Oxitracted by VESTS + Contract retatned by generatfx confers <br />agency autbonry on uutial transport& to add or substdote aektottorral transporters on generatoel behalf -I- t t W 33463) A Ea- <br />VF0243060-038 <br />15 GENERATOR SiOEFEROR 9 CERTIFICATION, hereby declare r.eat lie cnear2 of Mo cznaganert are hdly and acctralely000cribad above by the proper shipang dereer Cod are csissified, packaged, <br />oerked and ;attere‘L'Oauniec. and ate n Al •PS.P.-^3 .^ prccer ctodfte trar transport according no Sppicabb Oarsman/I end ,Eitr.ear rreererdertg regulations <br />Goarator1101raes Patodaaad Nara utignate .. Month Jay Year <br />e 1 c r) :Icen SO r, 9-12.1Y1(;)-041/0-47-1_ 1 c6 1 S'Icril <br />1 <br />_9 I / <br />— <br />16 1,11am:staid Sopments Pon or mare LIImpc,rr 0 Pcnr to U.S Expor. ti .5 <br />Transpolar asrage(k exports telly): Dale Wang U - <br />1 17 Trauma Acknoyadgment of Ramat ontarrierit <br />'1464 <br />Trans:14)0w 1 Pnnted TypedNJ? Aionth La Year <br />. <br />47, <br />k! 1 li l a.° arx.r,y <br />Lena- /92 <br />f,,,,, Otir, <br />I I 1 [ •----- DESIGNATED FACILITY --.. 1 18 decresarcy <br />, ea Nscmpncy Indtaw SO8' il Ocanity [178 El Uperriel Reactor E Full Reincan <br />Shacyng Docurient Trackrng Mater <br />18E Akernate Facie, or Goeetator: US EPA C tent,' <br />Fcalris Phone I <br />leo Sanatcre of Macrae Paley :a Generator) Mona Day read <br />I I <br />19 RKCfl management Method Codes b e. codes tor tratmat cl*Poarrl and IsKYchrii 471a11Pro, <br />2 3 4 <br />20 Designated Sao* Owner or Opera-or Crbasan or moat or avant =rapt a noted a tan 184 <br />Pnrdedlyped Narre Wan Mari Da °ear <br />I I I I <br />DES1 <br />https://outlook.office.com/mall/search/id/AAQI,ADMwMW114NJUETEGNVVEtNDEw0C1iM2MOLWblibljgzMjViMWY3YOACIAM%2B8S1090UFfg4YPHFp3TyE%3D/sxs/AAMkADMwMVVU4N1IxLIEGNVVEtN... 1/1