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NON4tAiARDOIS I.Generator ID Nunbar '2 Page t a a Fytrorgerr.Y Response Phone 4.wase Tnm*ng number -— <br /> WASM MANIFEST CAIC002957105 1 650.331-8013 NH18M 1009-v <br /> 5.Gamrata'a Nana and MWWV Aditw GenwaWs She Address gl dAlen d then ma4%address) — <br /> SIRAAERWLLAPARTMENT CCfAMUNITIES 1009 ROLIINS ROAD <br /> 3000 El RxmvE PARKWAY.wTE 450 AME,CA 94010 <br /> SMRAMON.CA 9M3 <br /> Gen-Wer Ptwrrs. 3nqg4-01ff1 <br /> S.i mnapWor 1 CmWry Name —— ---- -- -- U.S.EPA ID Number <br /> 7.Trsrporlsr 2 Carttpeny Name U.S.EPA ID Number <br /> &D " U.S.EPA ID Number <br /> El{�94585 HLLS LANE <br /> 707432-4627 <br /> Fog e flow _ <br /> g.Waste ShOM Narne and Descrlp w tg'Cards nsrs 11.Tom! 12 UrAl <br /> No. Type ouarcy WL/VOL <br /> t. MON-FirR2T QUSt?tfASTE (NC �iAZAR--OCAS Sa1L) 1 DT 18 y <br /> z <br /> 3. <br /> 4, - - <br /> 13�O}HandkVHLF IB^3 laftodons <br /> and AdMonal Wannailm <br /> E-L.Tb: CATALYST EWRONMENTAL <br /> 14.GENERATORWO RWW'S CERTIFICATM I hereby tlsaMee that the conowte of em cwekranoM aro fury and accerayly desr.elwd above by the pmpor shOping now.and are denied,peclumed <br /> maded and WW10dplaranted,and are in el respects in proper caldltlon for transport according to spplemhto mmw*ral aW nNoW gum abets. <br /> G' S <br /> Sipnatwe • hbt�h Yqe� <br /> 1S tnlerrldfpnal gonert ❑1 d ❑Export from U.S Port 01 etdryletrll: <br /> Taub er Signature r exports . nlpa b U.S. Date leamnct U. t <br /> 16.Transporter AdnowWgnvM of Recelpl of 11ah!Iels <br /> Tra WrW 1 Printedaypea ria rs ylggbtis -- M Y 7 <br /> Tra yorW 2 Pdntrd/TyW Name Month Day Yoan <br /> 17.D laarepanxy <br /> 17s.Discrepancy Inked n Spm ❑ouenny--- ❑Type ❑Reddue ❑P'mwl R*.wi ❑FLA Plefellsn <br /> E'. <br /> _ tAandscl Netaranca Number. <br /> 17b.Ahernao Fac k(w Generator) U.S.EPA ID Number yy� <br /> Fads Phone: <br /> 17c.Sk n*m o!Alternate Fadley(or Ganeralor) Month Day Year 5 <br /> I r <br /> 18.Dasi ruticd Facility Owner or Operator:0w009M d me*d n WwWs cursed by� i la9fil as nAd n 170 � <br /> laelted'Typed Nemo Month Day Year ,i <br /> 169-BLC-08 18496(Rev.9l09) DESIGNATED FACILITY TO GENERATOR <br />