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NONi1AZARDDUS 1.Generaror ID Nunber 2 Page 1 of S Emetgerey ReaporWa Phone 4.Welft Tmilina Rueteer — — <br /> WASTE MAMFW CACW2957105 _ I 1 SSD-331-=3 1 NH18061009- <br /> 5.GerWratora Name and W1t*g Address Gerteralars Blle Addrm(11 dtiwmt than na*g addma) <br /> SUMMER111LLAPARTMENT COAAdUNITES. 1009 ROLLW9 ROAD <br /> 30d0 EMWTiVE PARKWAY,SUITE 450 l W9 R LLIN �:A D 0 <br /> SAN RAMON.CA 9158') <br /> Gww=ri Phone- <br /> 8.7tornpoAw Name U.S.EPA ID Number <br /> %.Trumpmtar2nY PVenw U.S.EPA ID Nuatrer <br /> S� s+'dy U.S.EPA ID NDmber <br /> 3675 POTRERO HILLS LANE <br /> SUt".CA 84585 <br /> 707.432,4627 <br /> Facdil'9(i'nlfa: <br /> 10.Corft5 v a 11.TOW 12.Unit <br /> 9.Waste 9Nppr g Mame and D <br /> _ No, rype Quantity wove. <br /> 1 DT 18 Y <br /> I <br /> 3. <br /> i <br /> 4. --- -� - -- ----- <br /> I <br /> 13.Sp11 Flendlrb� ns and AddlionW InJommb n — - — <br /> I <br /> HLF <br /> 333 <br /> ESL.TO: CATALYST ENVRO0SMENTAL <br /> 14.QWWT0WV0RV=S M"FfCATt01t 1 hereby declare that the cmwnts of thm corgi iy vnnt ere IU4- end accUralr>!r osacred wc-sv by ttw aria thippiV name.and are dneiad,packaped, <br /> artlmd and!abeter�ed,and are m sB respecLs m prober condition tar h=port wxwdng to ambo"mtameharA ux mora ga+ern '! Gutta <br /> Genc aKlB Imes Nntedrlyped Nnme Sgrwe co , j�n • � Nor!Mt Day Yar <br /> 1S InYerrtdlorml 9higr+errls ❑{ to U.S. <br /> � Q Fiat t.tt U.S. Fort at ertlrydmdl: <br /> Trerteoorter Slmratum Dor nmona orty) Dote Ieffft U.S.: <br /> it It Transpmter AdnowtWgment of R-0 of Mftl& <br /> Transpoft 1 PtAtoa�/1ypW Ane, -- -- ---- SigtaWre Moo Day Yap <br /> - 4i� <br /> Ani � 1 f <br /> Tran,Swrter2Pdib*7ypWNam — — II - - Month Day Yep <br /> 17.Du a$!arxy <br /> 17a Giuq nr!cy Indication Space Y ❑Typ. ❑Rasd. ❑PatYel Re{adlmt ❑Ful Not. <br /> Mkarelasl Neturanco Number. <br /> 17b.AbAflMFaft(orGwWrl" - U,6.EPA ID Numbu <br /> ftm- <br /> 170.SIpvio of Alternate Fadity(or Genw*r) /i�/ Monty Day Yeat <br /> 18.Designated Fealdy Owner or Opwalor.OwSodlon of rao*of nWJwk*cpgW by tho menlest ettcept as r!dY}1 n 11017a <br /> ft*`Typed ns Slgtalum -- Month Day Year <br /> 169-BLC-0 6 10498(aw.sft) DESIGNATED FACILITY TO GENERATOR <br />