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NON-I UMDOUS 1.Geltetalorl0 Nunber 2.Page i d S.Emergency Response Phone 4.Waste Tractlnig Nrmtbar <br /> WASTEVIANFEST CA0002967105 1 650-331-8013 NHIEWI009-I <br /> 6.13enerTWO Nome tad MON Addw GereraWs Slee A Wnm(R dRerenl Ow mWkV addfeea) <br /> SUIAMERHLLAPARTMENT 1009 RaL11NS ROAD <br /> COMMUNITES- <br /> 3000 D6cUTIVE PARKWAY.SUITE 450 ElUf2L1AlGP,1dE,CA 94010 <br /> SAN RAMON.CA 94583 <br /> Genowea Phone. <br /> 6.ymnopmw i Company Nauta U.S.EPA ID <br /> 7.Transporter 2 Company Name - <br /> U.S.EPA ID Number <br /> &---o KC1Cr 6"&V E*effl <br /> 94585 LAME <br /> 707-432.467 <br /> F a Paine: J <br /> B.Waste 3Npp4rg Name and Descriptbn <br /> 10.Cadeirers 11.Toni 12 UnA <br /> No. Type Quarddy wt1Vd, <br /> 1 DT i8 Y <br /> 3. — <br /> 4. <br /> 13�xual f-land In54aCion.and <br /> 1)PHI.F 8-333 <br /> BILL.TOr. CATALYST EtMROdrPv ENT fAL <br /> 14.GRERATOWSIOFFEROPS CE"FICATION•i hereby declare#W the writ to d etre crnrsignrneMem hdFy and somatelydaa W)L4 abore by the prop-,i sbppwV name,artd are daesiled,paehaped <br /> madoed and 6itsbi a 4mcardal,and are In es respects its proper mtditlon for transport amei tg b appbo"NtssnrNartal and ttalorral ii <br /> Gcn or'telotferola Pnnlod/lyped Name <br /> RMOS <br /> �p �j� 8lpradere � Nlonlh Day Year <br /> Fb 4 F f� ..�t/ .. <br /> 1S Inferrss6onel Shipneords ❑IMPM to U.S, <br /> ❑Etrpod from U.S Pott o1 enlryknt:-_ <br /> Yw.pMer Signature(lar a ods or* : _Data leaving U.S.: _ <br /> cr 16 Trerteporser Acknor+bdg rent of PaoWo of r►dota <br /> Trarraporier 1 Pdrrthdrfyped Meme — M Day y <br /> * &�) <br /> TraWrtar 2 PdnteWyped Name ry Mmlh Day Veeir <br /> 17 awwpancy <br /> 173 Dfsampmtcy Imkollon Space ❑annoy ❑Type ❑A.W. ❑Pariw RB)ectloa ❑Ful W. <br /> Manlloot Rebrortce Numbar. <br /> 170.AQerr"AdRy(or Generator) U.S.EPA ID Number <br /> F&^t y'.%Phone: <br /> 17C.Sliptarure of Altemehe Fol(or Generator) Month Day Year <br /> a <br /> Y _ <br /> A <br /> G <br /> 1&Dosip rifled Fw*Oww or Operolor.Cerci cdm of mosio d magddo c -wj y ft;q5tstexcept ask noted b Merit 17a <br /> PrhMWWed Name i� �rinattrra —- --- - Rlorm Day Yaar <br /> 16"LC-0 a 18,196 Mov,sloe) ' DESIGNATED FACILITY TO GENERATOR <br /> y, <br />