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NON4 AWDM f.Generals ID Number 2.Page 1 of S Ea#"wvy Response Pham 4,TAM Tnddn f Naerbec _ _ -- <br /> WASTE MAN FEST CA 7105 1 650331-8013 1 NH18061ow ze- <br /> S.Ganaraws Name and Mt9rrg A&hu -- — -- Genamhr's Sib Addnree(R dro rt than t wft addtess) — <br /> SIRMrRfilAPARTMEW CCNLWII M. RQLL�V9 ROAD <br /> 3oUo encu IVE PARKYUAY,SUITE 450 4009 1009RA <br /> SrQAAIE,CA 94010 <br /> AN MON.CA 946$3 <br /> GanxIMM Rom — 1— <br /> li.TWOpot w t Com"y Name — - — U.S.EPA ID Number <br /> Z T p R k <br /> z Trareporter 2 Cmtpeny Name <br /> U.9.EPA ID Number <br /> U.S.EPA ID Nomber <br /> MN,Tr LANE <br /> A 535 <br /> Fan 'a ifio.;e: <br /> 707-432-4E17 <br /> 9.Waste 9Nppng Name and Daeat{Sflon 10.contairm 11.Tobi 12 LIM <br /> No, Type Quwtty WINd. <br /> ss 1. <br /> NOW SOIL) 1 DT 18 Y <br /> Ti <br /> 3 <br /> 19.S laskuWars <br /> and AdMonal inbarwMat <br /> BILL.T& CATALYST EWRONM KO L <br /> 14.GEIERATORWOFFEWIS CERi1FICAIMW I hereby deohn that the conloft of fns wrelprient are luily and accumisly deawbed above by Me proper iFhWg name,and ere dueiad,packaged, <br /> marked and tebeledpiawded,and are in AR, m proper condMon lor bumpod axnrdng to appkc"atrorrmtAnal snd mama d <br /> Gen ivTgroes PrinfWyred Nome S:yrxfuro — Mo* Day Year <br /> O; % 412 $(J r • <br /> iS wenv lfonal 9fdprnerth <br /> ❑Impod to U.S. ❑Export from U.S. Port d xrhyk>dC <br /> T r :we ft exports _ Data bavrq U,S.: <br /> w 18 Transpoft Acknowiedg rim of Rooeipl of Mdarbia — <br /> Tranaporler 1 PdrteemwNd Name 31p yWra Moo Dap Yea► <br /> AmRignoilM L C. 1 - 016 <br /> TwApoft 2 pdrftvvw Name - Slgmium Montlt Day Year <br /> 17.Duo*aray <br /> Ila Diec wwlcy lndtal m space ❑ --- ❑Type ❑Residue ❑Pe18el Rejadw ❑Paa"a. <br /> ManP,sr�l flelarence Number: <br /> I Th.Wnlaw Faclity(a GerwWor) U.S.EPA ID Number <br /> I <br /> Fat 9itys Phone: <br /> 17C Signalue o1 Attemale Fedigy(«Gene^aiot) Month Day You <br /> 19.N*naled FaW1y Owner or Operator.Cwaoa km of receipt d nrWKWl coverod by 8to nwhs! •xcr t hP Dateda <br /> ftTWyped Name re tL/� --LqP_ Mortth Day Year <br /> k <br /> — <br /> 169-BLC-0 6 10498(ce•RM) • DESIGNATED FACII TY TO GENERATOR <br />