Laserfiche WebLink
NOR-HAZARDOUS 1.Generdfer 10 Number 2 Page I of 3.Emergency Resporisa Phone 4.Waage Tracklrn Number <br /> WASTE N/A 1 (877)269-IM5 ��'��.`� , <br /> ng 5 aWffim ct$AL T mss Gene,'ZWS Sire Address[11 ddferent 1w maTmp rrddmtal <br /> 3078 NOVYDrire <br /> Stocldon•CA 15208 <br /> Generators Phone (20G)8£s 1-000 <br /> E Trampow t CaqmV t4am — U S.EPA!p P1umr <br /> Ponder Envhmmental Seivioos Ina CARQ00180737 <br /> 7`nrrsporarr P Corxrparryl�ame <br /> U.S.EPA Ip rbarbe7 <br /> 9 � SFfClilfi -:fess — U.S.EPA Id NumSer <br /> 3875 Potrero Hips Ln <br /> Suisun City, CA 84585 <br /> Faad6r:'a Ptaorle - - (707)432-4822 CAROMOSS406 <br /> 9 waste 5hft Hama and Desaip m TC Corda6fers 11.Tota! 12 Unit <br /> - - <br /> fJo- Type ' qty Vyl'ra. <br /> Non--hazardous waster liquid (rinse water) 001 7T Z200 G <br /> ca <br /> a <br /> 13.Spoaal Handing ftlshctlam and Addlional Informabon <br /> Profile PHLF-17-137 Truck 0 <br /> ,Job 017-16030 <br /> 14.GENERATOR'51OFFEAOR'S CER71FXATiOH:I hereby dedare that am contents of thus oansf9ne M are hk and axe wW*descd ed above by 6)e proper shlppirg rwrne and era dassified,packaged <br /> marked and lah&Wplararded and are In as respKts in proper sand Son for tmnsW accord ng b appFeahie fntamalionaJ and nalloiW gwernm&i al mapulakm <br /> ee rale a'�7Newa PnlmWyped Nwre Sw, dare M090 Day Yea: <br /> p� d► 3 `[ f <br /> J 1$,tilterrlallaflal SII.S <br /> ❑InlpoR 10 U 5 ❑EwpoR Port of enlryle�nt <br /> Trar Rer 5' IarB f1�ary^rk9 5m.. U. Dale far r U.S <br /> a 1B.Transporter Rtkrranledpr»errt of Receipt of Materials <br /> Trarrsport�PemWkTypW N e SJgRature Month Day Year <br /> A& t <br /> Tmnsporar 2 PWBdiTyped Name � - <br /> 4 in <br /> mm1h Day Year <br /> 17.D s"mancy <br /> 17e.Dlsrroaney adkedae Space ❑Type ❑Res cue <br /> ❑Pala!Fi*iion ❑Frdi ReJecm <br /> fda ufEst Re'•erenca Numbar <br /> 17b-Wtamata Fedity{or GetxreforJ U.S EPA}D Nurroer <br /> U <br /> tK?Facgi,,s Phone <br /> �0 17c Si Ramre of A1lernale FacA¢y(or Generals) - I <br /> ; Month Day Yoe: <br /> w <br /> �r <br /> 16.Desipnalad Fea'hly Owner or a hr Cess mkn Of mtc* t ef mafedah rnvarad bg the mm*st mm%as"d In Item•7a <br /> Prfedetllfyped Name 4 you <br /> r-7 <br /> 1ga6LC-O5 11977(Raw elQiry �� DESIGNATED FACILITY TO GENERATOR <br />