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NOId HAZARDOUS 1.Generator ID Number -— 2 Page 1 Jf3 F�nsgenq"w'"Phare 4.�Ileb Trt*Pq Number <br /> WASTE MANIFEST CAC002967105 1 651-331-8013 NHUW1009-5i <br /> S.Gownstoem Name aW MON Ad1 W IdeneraEor's title Addteee R dClerer4 free mdrq aditee) <br /> SUMMERMLL.APARTMENT COMMUNITES. <br /> 3000 EMSCL fVE PARKWAY,SLMTE 4SO 1009 fiaWN$RaAp�,CA 94010 <br /> SAN RAMON.CA 948$3 <br /> Garwgwo Ph". <br /> S.Tmnsportw I y Nam U.B.EPA 10 Nutttber - <br /> S M �4HH � TR►�cI�I� G� <br /> 7.Trarptaater 2 CmWnyr Name U.S.EPA ID Number - <br /> S' 7p � {'� I U.S.EPA ID Number <br /> S�llA1�TCA as <br /> 707,432.4627 <br /> f=ocofr 's Ramo; <br /> --- ------------- <br /> I 8,Weal SNppxg New and Dewl4don 10.Cor wrws 11.TOW 12 llydt <br /> No. F Type Ouaray WtNoi. <br /> 1. CdUi�F ) 1 DT 1$ Y <br /> 2 <br /> 3. <br /> 4. - --- - <br /> 13 moi)P1 <br /> Hs _33 <br /> 3 or*and wd tonal irkmWcn - <br /> 9A.L Td: CATALYST ENVIRONMENTAL <br /> 14.GRIERAT AIMFIVIM'8 CSRTIFICATIOW I hereby declam that the cOnlerft of the coruiQ+rM-tet ae tv"t and occuralely dmnb,J above by Attu prc9v sh Ppirq nano.arsi gra daseiod,pecYaged, <br /> m ftd and Wbeledlplfltstdad,and are m aB respects m prnper=Wltlon la'harap A an:ordng to apptcebw intern tmw mW neYaEd "1! eucrry <br /> Gen s4lFamr'aPnnled/1'ypedNnme IJondi Gay Yru <br /> 15 tnt sMprrbne ❑I w U.S. -- <br /> � ❑F�dl kcal U.S Pmt of enlryk>rL--_ <br /> Twoponer Srgnaluro f(or o"as ori-): Dato l x4N U.S.: <br /> 16 Transposer Adnowledpnwd d Raoul of►IWedeil — — -— <br /> Trertapotlar 1 Pdri,.xYTypecl NarrroMonet D• Year <br /> I <br /> I G,�)I —l- <br /> Trars mW 2 Pdnladut'ppee Nemo Slgtrpao mondr Day Year <br /> IT OWRIParwy <br /> 17a obueparuy If dlt]ttlon space El!7uenMry ❑Type ❑Residue ❑Pallial Roe-;a1 ❑wa Repoldn <br /> Maftd flalereow Number. <br /> 17b.Ahemalo Ffxdlly(or CAnom!or) U.6,EPA ID Number <br /> J�yFf <br /> Faality's Phone: <br /> 17c.Sknahim of Abasols F&OW(or Gowalor) —- Monlh Day Year <br /> f4 � <br /> 18.Dasignaled Featly Ower or Opwsfor:CwW al of receipt d mood*crated by ow rnwdw except ea nosed n Item 17a <br /> Prnted?yged Name Slg wture - - -- Mond NY Year <br /> 169-BLL-0 a 10498(Rw.9/09) DESIGNATED FACILITY TO GENERATOR^ <br />