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NON—HAZARDOUS t 6eneretcr ID Number 2,Pepe 1 of 3.Emagwc r flespdrrae Phtxre 4.Waats TdArlrrba <br /> WASTE MANIFEST NAA 1 (877)239 ma f 1 6039-002 <br /> 5 Germr&es Name and MaduV Awross GeAerat{ 9 Sire Address diffoord than-an atlt6esaj <br /> Pacifist Etharm 1 <br /> 3028 Navy Drive <br /> rJARPAW9,DA 8520$ <br /> e Transporter lI Cdlgany Name U.S.EPA ID Number <br /> Pander Erlvircnmarltal 5ervioes i no CARQQQ 18Q737 <br /> 7 Transporter 2 Co:rrpany dame <br /> V.S.EPA ID Number <br /> B Des gyrated FacrT t�Name end Site Add" VS.EPA ID Number <br /> Potrero Hills Landfill <br /> 3075 Ptatrem Hills Ln <br /> Suisun Cly, CA 134685 <br /> Fac"ry s Pt" (Z07)432-4022 CAR00049$d88 <br /> fl Waste ShrXng Name end DescrOm _ <br /> 10 Conlslners » Total 12.Unit <br /> No Type I qty W:Nol <br /> 1 - <br /> Non-hazardous waste, liquid(rinse water) Q01 TT 0 <br /> ca <br /> I <br /> 3 <br /> s <br /> 13.Speelal Handling Inslnxtkrts and Addidenel In}ar ebm <br /> Profile PHLF 17-137 Truck* ^ <br /> J012017-10039 PO 0 <br /> 14.GEN£RATOiR'SIOPF BOR'S CERTIRCATION:t hereby dedare&w the cantenis at this cansynmeot are I0y and awurateiy desedtted shove by the proper 6hippfng rMmio,W art Cassirred,packagel <br /> narked W eledrp�caded,and art t1 al resper_s In propel amdw for transoori ao=60g to applicable Wema[lo W end natiofW governmeraaI requtatiorkl, <br /> GeneraiDslQ8erdls�tet'JFyped N` 5kpta co. Mon>h r D7ay Year <br /> ❑ <br /> 15.IntemaJonal Stnprnents krgort to U.S. ❑Export Tram +.5. Purl of antry.'ex+• <br /> Trai*gW._er&t ure dor exE22 cr'tyr OM leavir U.S <br /> ec 18-Trdnspartar Ac6amedgment d Re*[of Materials <br /> Trarksporrirled7 Name Slgrlatue Month Day Year <br /> _1� 31 17 <br /> Z Trarspodee 2 Pr MS&Typed Name Mond; Day Year <br /> 17 Discmparky <br /> 17e.Dbveparq tndreahon Space ❑OwLty ❑T ❑R:sidue ❑ <br /> ype Para!AeVOcn ❑fiu7 Rejer.3on <br /> MaHesl Rele'errca Number <br /> 17t.AJlunn.0 Facdily[ar G"rator) —— US EPA ID Number <br /> Fnc.A,s~.hone _ <br /> 04 17c%nature of ACarrsate Fa6N (or 0aramio <br /> Matte Day tea <br /> Z <br /> 4 <br /> 18.Designated Facet Llmer ar Operator CBrtd flan of o}materials covered by to manifest damps as noted la Item' <br /> Prh hyryped Nema Signature Mortar veer <br /> 16f3-SLGa 5 11977(Rev.Mg) NJ DESIGNATED FAGILITYT GENERAT R <br />