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NON4A2ARD0US 1.Generator 10 Number -- 2 Page 1 of a.Emergency Response Phare 4.Waste Tr=Wng Nrmnber — - <br /> WASTE MArMFEST CAGO02957105 1 650.331-8013 1 NH18061009-;Z, <br /> S.Oenaralufe Name std NWalftg Address Generalnta She Addtses(11!dilerant Iran ma9rq adites) <br /> SlJIS MERH L APARTMENT COMMUNITIES. 1009 ROL t Iuc ROAD <br /> 3060 EXECUTIVE PARKWAY.SLATE 450 1009 ROLLIN,CA 94010 <br /> SAN RAMON.CA 9OM3 <br /> Generation Pito% qlaz <br /> 6.Tlallsparttr Nornee �`— U.S.EPA ID Number <br /> 7.Transporter 2 Company Name U.S.EPA ID Number <br /> a�l� - U.S.EPA ID Nomber <br /> gg <br /> SUISt MyPOTCA M50 85 LAME <br /> 707-432-467 <br /> a.Waste SNppkN Name and Dagotlon — 10.Cattttlrers 11.Tota! 12 Unit <br /> Nb. Type Qua* wuvo. <br /> I. NO TE ) 1 CT 18 Y <br /> W 2 - - — - — <br /> a, <br /> 19 Spate)Handing Wstoodone end Adr6 wa IrdoRrredon <br /> 1)PNLF 18-333 <br /> M.L.TO: CATALYST EWROMV4TAL <br /> 14.0MERAT0R'SIOFWIQR'6 CERTIFICATIOlt I heroby dedare drat the c«eAriv Of this wwwri n"t are fully and eauntaiy dee rdred abore by Uw proper shipparg tame,and are dessAK pad egad, <br /> matlmd and labelodlptacarded,and are in as raspeft in proper eartd don for tratsport eccordrg to appbc"uaerrre wd and no6ortid arra. <br /> Gets WOloroea Ponlad/Typed flame SoNdure . Monet Day Year <br /> db 4 FOL v1/ �WW,, i kef 1 -1- 1 <br /> �J 15 InternaD W SNlrnaents <br /> s=t ❑!m{>oA to U.S. Q Exptxl trate U.S. Port at erdrykdt:- <br /> Tranwortar Signature Ia a rrs Dale teeft U.S.: _ <br /> ¢ 16 Trettsporesr Adnaeledgmeent 01 Raoalpl of Materials <br /> T 1 Pr bdffyped / \ S"blire Montr DAY Year <br /> Transporter 2 Prf yped Name SlprrsGae Month Day Year <br /> 17.DAcreparwy — - <br /> f 7a C(saepanq Inclicadar Space ❑Quereity ❑Type ❑Residue ❑Perm Re)ealat ❑Ful A*,%. <br /> Marrilast Reterenrb Nurrkr. <br /> 17b.Alernete F OW(or Gerwalor) U.S.EPA ID Number <br /> Fads Phone: <br /> 17C.Slgiteltre of Abm*Fadl#y(or Generator) F` mom Day Yeas <br /> 18.Desipno6erl FadeY Owner or Otlaralor:Certikatlon d receipt of pnodit Iw mandril except as noted in helm (r` <br /> P"cVT)Wd Nam li SlgnaMo Month Day Year <br /> I6"LC-O 0 18498(Rev.SM) DESIGNATED FACILITY TO GENERATOR <br />