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lt-As <br /> NON-RAWDOUS I 1.Generator-Number2.PaU Page 1 3.Emergerxy Response Ph" WMW Tracking tMrber <br /> WASTE MANIFEST CAC9Y957105 _ 1 650331 80134. NH18tk61009-Id <br /> S.Genvabor's Neme end Ma'tirg Address Ganeraror s 9%Address(R dOwl ten ma"address) <br /> SUMIbAER)i L APARTMENT COMMUNITIES. 1009 ROLIJNS ROAD <br /> 3000 E ECUTIVE PARKWAY.SUITE 450 <br /> SANT RAMON.CA 94688 9URUNGAME,CA 94010 <br /> Generator's Phaa <br /> 6.TMmporear 1 Cor"W Nam �� UA EPA ID Number <br /> 7.Transporter 2 Company Nana U.S.EPA ID Number <br /> 0.llelvl"b v S*_ U.S.FPA ID Number <br /> 3675 POTRERO H LL.S LANE <br /> SUISUN.CA M85 <br /> 707-432-4677 I <br /> �a�yiil(s Plano: <br /> 8,Waste SNppwV Name and Descrtatlon 10.flortlahters 11.T N 12 Uatl <br /> No, Type Ocemly WIJ <br /> 1• RO — — - i OT 18 Y <br /> 2. <br /> s. <br /> a - <br /> 13.'Iec� �ndrrg�dions and Additional Information <br /> BILL.TO: CATALYST ENMONIMENTAL <br /> U.GBIEMTMRIMFFEROR'S CERTIFICATkOIF I hereby c,w:e 1w tho amnia(4 thn caml7vnunt erofo/amt r,=raty deet mad above by am proper shipping name,and ara dawiod,pedaged, <br /> medeed and 4>Delcd/p icvded,and are in aA respects m proper oorduo ler banspon aocordng to sWksbla mtomatmal andItilia uomo <br /> 0 r's10 fames PrntecVfyped Nam Sipraluno • Idondt Day Year <br /> ® lr- 00.0 1 &Q, <br /> Ll AL Al---- <br /> 1a""Wow shkxrw s — — --- <br /> ❑import Io U.S. ❑Ewpott from U.S. Port of cnbyfsdt: <br /> rrertaporler SodLm(tor!"rb ahx _Da ieavtrw U.S.: <br /> 10 Ttarreperler Adnowledgment of P.ecelpl of Mx*Ws - <br /> Trarsspoft 1 Pdriedf[)pea Name signhrremomDay Year � <br /> ThriCarter Name Month Day Year 1� <br /> I � <br /> 17.Oieaepanq <br /> 17e Mcmpwtcy Inamon Space ❑ ❑Type ❑Rediae ❑Panel ReJeW. ❑F.1&W. <br /> eUrdlast Refarenre Ntmsber: �' <br /> 17b.ANom rto Faci ty(or Generalov) U.S.EPA ID Number <br /> L <br /> W Facksys Phone: <br /> 170.Slgnadeo of AAgmele Fooli y(or Gow wor) SFO Mort Day Year <br /> s <br /> 10.Dw*neled Facky Owner or Ovaralor:OwNcetlon of toe*or meler(ah-need by the rmnM in Ilam 17a c <br /> Prtitdd'iypadNemo to --- , ,, i„ Month Day Year ' <br /> I I <br /> 169-BLC-O 6 10496(Rev.9109) DESIGNATED FACILITY TO GENERATOR <br />