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NON-HUARODUS 1 Ga lertlor Iff Hraaber 2.Page 1 of 3.Emwgm cy Resporse Phony d.Waste Tracking Humber <br /> wasre Mae+nr Fsr NIA 1 87 5 17-160&9-001 <br /> Generalaes New and Ma7ng Aftem Generafors Uo Aftm(l different I'm rt%ON address) <br /> Pacifc Ethanol <br /> 30213 NavyDrive <br /> C &R ,CA 95209 <br /> 6 Transporter 1 C s _ -- <br /> �s+Name li-'s.EPA ID Nwnber <br /> .--P <br /> 7 Transporter 2 Company Name U&EPA 10 Number <br /> 3.DesOlwad Far>34y flame and$90 Address � US.EPA ID Humber <br /> Potrero Hills Landfill <br /> 3976 Potrero Hills Ln <br /> Suls un Ckyy, DA 84565 <br /> Fe[i v a Pf m. <br /> S.W&M Shipping Nara. arld OesGfldion s0 Co A*Mrs 11.Tow 12.Uni! <br /> No. Typo OuarsDty WINd. <br /> 1. <br /> Non-hazardous waste, liquid rinse water) 001 i TT G <br /> 2. <br /> c� <br /> F-- 3 <br /> - 4 - <br /> i <br /> 13.Specht Hard"ifl mku o:-,s and Addtiorsal Wwmat:rn <br /> Prolle PHLF 17-137 Tfuck*L 0 <br /> Job#M7-16031 <br /> 14.GENERATOR'S OfFEROR'5 CERTIRCATiON:I hereby declare that Itx cements of Vs s wtirgnment are lust'and a=urafely des.'*M above by tale proper at40V name and aro classified,padogK <br /> marked and labele6pbm ded,and are in all resp"in proper MildbW W trarupari aaardirp to eppkaM rtle+r+atlaneJ and rsa>ie W povertl 4111aJ repufaCens <br /> Ira.flx&V PdrsUMITyped ttisefore Morse Day Yaar <br /> GZII 17 <br /> � 15 lydemaYa+al SltipmelVS� <br /> ❑Import to U.S ❑E:pan fromS. f'cn of antryfW: <br /> Tran •xrer Si r sere.for esxns on i i _ Dea leavi-u US <br /> cc 16 Transporter Acknovdedgmenl o1 Receipt of Ma:edals p <br /> Trarlsporler 1 Print01 <br /> C:jCA. <br /> y�L �Mont �Yr <br /> a Um <br /> a Transporter P Pr%v, yped Name 5iprselure Mordfs Deg Year <br /> 17 disc Salty <br /> 174.plscrapancy Ir>dMbon Spate ❑o,,2:r 4y ❑Type ❑Residue ❑Partial Relecum ❑f%A R*dm <br /> MAMOV Reference Neer <br /> 1715 Aftemate Fad lty or Genard!Dr} US EPA ID Number <br /> r3 <br /> Few,Phare 1 <br /> 170 Month Day Year <br /> 12x <br /> N <br /> C <br /> 18.Desrprwllad Faeffiy o C tor'Ga trroaarnt of raoelpt of marerfaJs m-er4d by tho manifest except as holed rn Hem f e <br /> PKMORyped Name $gnalu a <br /> 189-BLC-05 11977(Rev.SIDS) DESIGNATED FACILITY TO GENERATOR <br />