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NONHAZARDOUS 1.Generator ID Number 2 Page 1of 8 E:mergerwy Raw �.ityaah Tr=Wng rimer(} <br /> WASTE MANIFEST CAC002967105 1 650-331-8013 A??�lI Rr 10O& 9r <br /> 5.1HerWAft Name ane MWIV AftW Ciener Ws 6%Add!raee(R diWk wen -addfe---.- <br /> meanp u3) <br /> SLVAAERHILAPARThAIT COIALUNITIES. 1009 RQt1GV9 ROAD <br /> 24M EABCUTIVE PARKWAY,STATE 450 1009 R Cn.L ,CA 94010 <br /> SAN RAJ&*.CA 44$83 <br /> GarWNDra Phone 415-226-0107 <br /> 8.Traoaporw 1 COT -� -- <br /> UR EPA 0 fMrnDa <br /> 7.Trerrpodm 2 Cbmpeny Name r U.S.EPA ID Nuatff <br /> a OeA�°)� iL £f If ILL V&EPA 10 Nomber <br /> HLJ_S LANE <br /> 707-432-4627 <br /> 79. <br /> 3 FfionWaste 3hIPP+r9ame anNd Daecdptbn18.Containers 11,Total 12 LW <br /> NO. Type Gueruiy Wwd, <br /> . 1 DT - 18 Y <br /> 2. <br /> 19. 'WPHL.F S 8-hpvoGons add Adhors Inco¢w6m333 <br /> - -- - <br /> BLL TOr CATALYST EfJVIFdONIr>EN7AL <br /> 14.0BfERAT0R'YJ0PF5RW'S CLFMFICAT101F i tmreby dealara!iw:1 No cvnknb oI th s wrn gvrxnt aro fulyj and&cwf daly above by the pn>F_r ahOpoq nam,"on daaeied,pact�apeq <br /> matired and let dim pWcarded,and are ins]respects mm prr4v ard;t!on lar h9espod ao wtq 10 gVbmW mgrnatww and nwond gw , <br /> 3"cr . <br /> Nhro/i+PrirdoYlyped t'tnme �� �v �M�� >�y�!� � t�!¢nth Day Year <br /> L7 r tltCsi�CC�L &f ,, 1 1 <br /> 13 Inkffmt;ortW St4wents ❑Imporf m U.S. ❑EVert km U.S. Part d erdrykvt:- <br /> Tromponer Swnaturs(far exports ok*y _ — Delo leaving U.S.: <br /> S 18 Trampoder Admorbdpnard al Pwoo l of Mafarkh <br /> ` T ter 1 drrhd(IypQd Name_ glgnatufe MOO Day aY <br /> 1 lS�-��t J1 �/ Q7 <br /> Tran."eer a.PdnterYfyped Name m _ Ilona Day aer <br /> t7.Q!aaeyaricy <br /> 17L Dlsmpmcy imtflar!Space firertnry ❑Type ❑Re*tm ❑Panel R ❑Fol gyp+ <br /> Atntii¢�!Relorenc¢Nrxnher. <br /> 17b.AhM a F&MV(or Generator) U.S.EPA ID NumbeF <br /> Fj::;:!i:y's Phone: <br /> 17c.SY;)nalUre of Altsmete Fadk(or Gonom lor) / Month Day Yea <br /> 1 a.iJa r, n rid Fad*Darter or Oparaw.CwiCom of mcW of matedda Cmww by 8r mmf w erre knatad m hum 17a <br /> Pmex►'iyped Name ftwuftl, MmM pay- year <br /> 169.8LC-0 6 10498(Rev.9109) DESIGNATED FACILITY TO GENERATOR <br />