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NON4WARDOUS 1.Generator ID NUmtrw 2 Page 1 d 3.Emvprcy Aeaponee Phare Waste TrmMng Number <br /> WASTE MANIFEST CAC002957105 1 650331-8013 PN118061009-i1 <br /> 5.,3 ::arofa Name and VW*Q Address C*wntoen SM Adtem(M d"w"ftn rival p addtR9D) <br /> SLlMMERHILLAPARTMENT COMMIJ ITIE9. 1049 ROLLINS ROAD <br /> 3000 EECUTNE PARKWAY,SLITE 450 BLJRUNGAME,CA 94010 <br /> SAN RAMON.CA 94888 <br /> GoowemfaPhorw <br /> ff.Tmmp71 fVwrre f ,, UA FPA 10 Number <br /> 7.TmmporW 2 Company Now - U.B.EPA ID Number <br /> I- U.B.EPA 9)Nomber <br /> 3675 POTRERO HLLS LANE <br /> SUt5L9ti.CA 94585 <br /> 707-432.4627 <br /> Faau a tdrono: _ <br /> B.Waste St W4V Nane and Dsecdpuon—- - 1a.Cantakrwa 11.TOW M Unit <br /> No. Type Quantity WLIVd, <br /> i. ItlO 9— us WASTE SOLID NOWMMWA CUE)— 1 DT 16 Y <br /> 2. <br /> 3. <br /> 4. <br /> 19.�c;PN�ndlr g�otiose xd AdMonnl Inlnmwda — ---- <br /> EII L TO: CATALYST ENVIRCUM! TAL <br /> 1/.GBJERATOR'SIOFF6TOR'S CFATIFICATtON•I hereoy deckers thai the axacarb d Nne corretgnrtrerrt era#dy erA ectunlety d:�nlu�a'r..,r by thu prgcr shGFxI reme,and are dateied,packaged, <br /> madied and(aWed/pacarded,and are in ag reepects in proper condition for transport accordng to sppio"rftnr mni0 and nahav i garom aome. <br /> B0I1110wal0lferolaPdtorYlypMdittartre � .���--- 18�rvlore-- - � � �� Month Day Yet <br /> 1 s trtyurtdlonel ❑Import to U.S. O Evw from U.B. Part of N*Yk k <br /> Trarmoiler Sbvftre Pr wft ark Do lemAN UA: <br /> 18 Transports of IrMfertals <br /> Trampmler 1 yped Now SIgWu - Nonlh Day YM <br /> Trarrsp(IypedYf <br /> NORM moo 08 <br /> 17.Diew�arwy <br /> t 7a cscmpmq tn&don Spam ❑ Y ❑Type ❑Resides ❑Pardw R oom ❑Fui Rated. <br /> Mai"Reforenco Nwnber. <br /> 170.Rwiab FKft(a Gertecator) U.B.EPA ID Number <br /> FaAitY's Phone: <br /> 17c.Skdnakue o1 AMamata Facility Tor Genian dor) mm* Day Yer <br /> o `CAIN" J <br /> 1B.Dealgneted Panty Q+mer or Operator:Cw§iwlion of recept of nralm pro r �egepl sa arlknr 17a <br /> Prttb4Typed krne S1 MOO) Day Year <br /> Id <br /> 1MBLC-08 16498(Rov.DM) '/ DESIGNATED FACILITY TO GENERATOR <br />