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NOIa-KS OOYB 1.OaaatrlDNembaf 2-pagatd &Boner"Pagaw More lwaalailaolfgjNaaabs <br /> WAS MANrM NOT APPUCABLE I <br /> 5.Geasab(a Nan and MampAdAM Go wMft SbAddom @fdit-taan oeig0d'au) <br /> .3A'y 00q7.,0. <br /> '.•`rlir_. r=fJ 7fnG�ri n. CA- 951t. <br /> Gaerada PAae: ' `�`�' 9Y9-396t� j{bGk'�-4� �� <br /> S.Trmspakr I C."my Naim `` 11� US, Met etw <br /> r,l A. 1�1K�'- ` ..t N 1 f o C. NOT APPLICABLE <br /> T Traupoder 2 CWV"Nam U.S EPA D Mohm <br /> NOT APPLICABLE <br /> P.Ocip"FacD/Nmemd MmAMM US,EPA D Member <br /> RECOLOGY HAY ROAD NOT APPLICABLE <br /> G426 HAY FOM[ •VACAVILLE, CA 96667 <br /> F Mom: <br /> 10.Corfaimn I --ft mrm <br /> B.WasNbh�pimq Naze em0esolpbra <br /> N0. Type Q--ftWCNd. <br /> IV <br /> err: - <br /> d <br /> 13.5peaal Harafrq ImhuuBae ald Admmel kdamabm <br /> # /39037,3 <br /> 11.GENERATORSIOFFEROWS CEGTFICATION:I hereby declare VA Oe coramts of Nis con.ignment era MY and aMraWY de$cfW ebm bYEeprWer ah ging rwne,and ane dasTed,packaged. <br /> madadead MdsY'pkwded,dal as b m mspocts h PWamnddorllorb'ansPA a=WiV to app5mble kiernegond aMmamW gmffdmnW mpuhfam. <br /> Generalorsomera's PAde&rvTw Nam SIpIMa j �� 77S MOM On2.7 <br /> Yoe <br /> r' <br /> 5.kdmolonsl SN",Wrts- ` ❑Impon bU.S. ❑E>aad kae UA dadlyhmL• <br /> T pars rd U.S: <br /> I&Trsmporlet Admodedyn M of FAcW 0 MakaWb l <br /> W Tmaeperbr I NnNDSTypei Name SF7nWas - YmW Day Yaa� <br /> veer - <br /> TrampoAer2PriVeNTyp-d Nan SignabaeMdf: Day year <br /> 17a.ONergeay atlmam Spas ❑Qva�f ❑Type <br /> ❑Residre ❑pwu Ae)afon ❑Ful Ryedm <br /> Mended Helene Number. <br /> 17b.AOemalo Faddy(a Oenembr) �' US.EPA ID Number <br /> U <br /> LL FscWS PF . - <br /> 17e.Signawecl Memate FadNy(er Gmembr) AMmlhIa.DeskrWed Faddy Oese a Operobr GPMYaam d wawa d nmerbb covered by are manned ewW m nokdIn ttem 17a MrSgnaMa <br /> 169-BLS-0 5 11979(Rev.W09) DESIGNATED FACILITY'S COPY <br />