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3 «�� E � <br /> NM41AWDOW t.Geoereror lD Number 2.Page I of S Emergency Reaponea Pham 4.tYeete haoldnp Nrnober - <br /> WASTE NAMFEST CA0002967106 1 65x331-8013 i�11806 i 004-�.J <br /> 5-Gawao>ra Name vid tALUnig Addaoe Gtx*Woes sib Adr4eea IR dHtaent Wen maprg address)SUMMERML — <br /> LAPARTMENT COMMUN ES. 1004 ROLL8V8 ROAD <br /> a0t70 E1�JTIVE PARKWAY,SUITE 490 B1A211111(3AIrtE.CA 44010 <br /> SAN RAMOIN.CA 84883 <br /> Generator's Pharr. <br /> 8.Tr pporw 1 Canpary Naara U.B.EPA ID Number <br /> J I M"Y TT?�-u <br /> 7.TrmrpwW 2 CWWM Name U.S.EPA ID Number <br /> 8 Dt111' ' Ft$�14L U.S.EPA ID NomberHILLS L4M <br /> i <br /> VOR84513.5 <br /> 707-432-4627 <br /> Fool' 's Plwno: <br /> 8.Waste 8hlppvg Name and Deet l to 10.ConWrisrs 11.To* l z L" --- — <br /> Nm Type dusrttlly WUVd. <br /> I <br /> 1. O�FFIIs Yt (NONSO�) 1 DT 1$ Y — <br /> 3. - - - <br /> 19.�;PHanclN H�t 1$hNtucdons and AdAxd Mbrtmeson --- <br /> -333 <br /> aLL TO: CATALYST ENMONMENTAL <br /> 14.GMERATORTWOFFEROR'B CLURCATfOW I hcre!ry L}!Ove tlnt er contents d Wm conergvneM are luny and atn,rat9fy dO2Jd d r!nve by the prc{,nr shipping name,and are doeaied,psokaged, <br /> martoed and lebelaN liacarded,and are in al rrxpeas in pW,cr condition Ior tram ecoadng to eppioehr mtanalmal and rrehor i gwerm H i ohne. <br /> Gena r %Mv's printed/lyped Nrrx: &Ignatum • Maw1 Day Yew <br /> MF-1) wLVQWfl5- Fo?,- sv <br /> is mbrrledonel&Waft ❑Import to U.S. O BW tram U.B. Pat of enttylamt: <br /> Tratispoiler Sionahn r exports orly): Data leaving U.S.; _116 Tr■spar►Arfnooadg W of Reoelpt of U tide <br /> Tr%yporter 1 Pdrltt i"TWnd Namo s tubae MaIW Oxy YMt <br /> .9 o <br /> Transporter 2 Ndsdrtyped Name $youre month Day Year <br /> 17.Dscrqwq <br /> 17s Clscrepancy in*dm space El entry ❑Type ❑Residue ❑Pow Re1,5, ❑Futl paved. <br /> latrllaat Reiererbe Phtmebr <br /> 176.Anomaao FGM(or Gorlaator) —- U.S.EPA ID Number <br /> Fartdys Phone: <br /> �+ 17c.Slgnaaue or Anemar Fddfly(or Generator) I Month Day Year <br /> `rye 614, � <br /> t8.Designated Faolrry Oanar or Opsralor.Certticatloo d reeepl d tnerdela wrered by qn rn:a,desi except ac n 17a <br /> ftWyped Nems Slgrtud Modh Day YM <br /> 169•BLC-0 6 10498(Rev.9109) DESIGNATED FACILITY TO l3ENERATIDR <br />