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%kA� <br /> W*4fAZAFI0WS t Gtareretor ID Number 2-Page 1 of 3.Emergency Pssponse Phase 4.W99%Tracking Number <br /> WASTEUARFEST CAC002967105 1 650.331-8013 _ WHiS061009- 1 <br /> 5.Generator's Name sad moo A44fm —— Genamfor's&lo Addmss Cd d1lorerA than nuiMng akkess) - - <br /> SU AMEf2Illl APARTMENT COMMLINITES. lllN <br /> 301]0 EMCUTIVE PARKWAY,STATE 450 <br /> SAW RAMON,CA 94588 �1049 RaLIV9 ROAD CA 94010 <br /> Gmumofs Phone. 41$-994-0107 <br /> B,Trlitrafrartor 1 Gornpury Netrq �/ � U.S.EPA ID Number <br /> .s T <br /> 7.TrempMer 2 Company N U.S.EPA ID Number <br /> a 1 6w-6-1-19 U.S.EPA ID Number <br /> 3675 0 AW85 <br /> 707-432-4637 <br /> Fsci6 's Phone: <br /> 8,Wasle SNpirug Mame and Desclgtlon <br /> 10.Car faint s 11.Total 12 limit <br /> No. Type a+rm>Dty YIWd <br /> 1, NGWFKZ� SOIL) 1 DT 16 Y <br /> 2. <br /> 0 , <br /> 4. <br /> 13 Special Hence 1ns4ucticns and Astli4onoi infuunadcrr <br /> 1)PffF18.333 - - <br /> W-L Td: CATALYST ENVIRONMENTAL <br /> 14.0M6RATORIVORGROR'S CERTIFICATION,I hereby dWm duo the contorts of the comignmonl are fug end wmmlohy dt.-�ntrd above by Tho prWoi ehypatg norm,and are daseded,peekeged, <br /> fmrksd and Iebow4taramm,and are in 90 m6peds in Proper condWw lar transport uaordug to eppbmm mmrrobmw erxl noortal goviirm V�! aeons. <br /> Gen te+'a0ae mra Pdnlodllyped NameSipnalure March Dar Y <br /> 11:Interrtdbftd <br /> p, <br /> ❑impod to U.S. O E'w ham U.S. Port of mu kxt. <br /> T r rbtun evorls ): Do lew4 U.S.: <br /> ¢ Ili Trancpoder Arknontedgrrret d Reaeipl of MaIsnals - - -— <br /> Tranapaler 1 Pdrtoeyped Nemo _ Slf�ature -- Mom Dal' Year <br /> m 01 k ; T i NGSF I- - �� _ 6 lul /7 <br /> Tram orter 2 PrinterYTyped Name $Igr>sWnp Moth Day Year <br /> 17.DiamWicy <br /> 17a gsmepwg Mrd edw Saam E] ❑Type ❑Residue ❑P.mw Rrrwo. ❑W1 Re(d. <br /> MerAwk flelerence Nrmt mr, <br /> 17b.Ahcrna!A FaclRy(or Gencral(r) -- U.S.EPA ID Number <br /> �Z facTays Phone: 'r�%f <br /> 17c.Signature of ftrn le Fad"(a Gerlaator) /, mmih Day Year <br /> -11 <br /> n <br /> 1t1.Dasig Wed F&OW ocher or 4pmW Ca ffio don of mo*d meso*wavd by the man"cacepl ea' h 1 r <br /> PftWypedNerne Slgnahrre '., r„r, Monti Day You <br /> 169-BLC-0 6 10498(Rev.9/09) I DESIGNATED FACILITY TO GENERATOR <br />