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N0144IAZARDOU5 1.Generator 10 Number -- - — 2.Page 1 of 3.EmwgwW RapWrse Phare 4.Weed Tracking Number — <br /> WASTE 11ANIFEST CAC002957105 1 650-331-8013 NH18061009-.: <br /> S.Generator's Name sort M&*q Adbt u GwwraWs S90 Address(R driven 11wI MAN address) <br /> SUMIAERH9_LAPARTMENT COMMUNITIES. W 1 009 RQLtWLLIN3 RaAD <br /> 3000 EJ�CUTNE PARKWAY,SUITE 450 1 9 R CA 94010 <br /> SAN RAMON.CA SM3 <br /> Genrat"Pha». <br /> 8.Trar OMW 1 COMW W New - - — U.S.EPA ID Number <br /> e,i 4 <br /> 7.Trarepdrhr2 Cornperty Nama US.EPA ID Number <br /> d U.S.EPA ID NOmber <br /> 36Tf POTR5R0 HILLS LANE <br /> SUMM.CA 94555 <br /> TOT-452.4627 <br /> Facifi s Phone: <br /> 9.Waste R4p*V Name and Dwe"on 1U• 11.TOW 12 Udl <br /> No. Type OUerinly WtNd. <br /> t (� E 01L) 1 DT 18 Y <br /> m <br /> 3. — - - <br /> 13�'PHLF 18-333 <br /> �om and <br /> HarKAN Addtionel in ,,, c <br /> 9LL TCr CATALYST ENVIRONNOYTAL <br /> 14.GENERATOFr&K) %ROft%WTIFICATIOIU I W*dedam that the oorf,"of IMa re fu':y and oCc r,. ly dMilbed SWIM by f::;•po,r shi;vnt name,and we cinsfiad,pecYsged, <br /> marked and Iat*adVacareed,and are in aB respects m proper rcr cioca,far transport aceadng to upp6wak tMorratwnal and nabx%d yov ;'i;FxJdu7w3 <br /> Gen tor'UPeVs PrinloffrypcdNsrna OWLSgnalu,a� fir' w /' Day Yaw <br /> 15 ktkrrtdionel Bhtptartb -- -- 9,`��l' 1 /� l <br /> ❑import b U.S. D&pat from U.S Port al wdrykdt <br /> T r Svinalure(for eVorts Dab 4eavUt9 US.: - - <br /> 18.Transporter Admavledgmrt 01 -_-T7 Qf MdorWs -----Transporter 1 Pd&vrTed� �— s,8mW2 moo <br /> G <br /> 3c r rLA 7 <br /> - <br /> Transporter 2 Pdrtesdrrypad Narro -- Slgrtature Month Dqy Year <br /> iT. �I�tI <br /> 17s.Ciscrepanq Itrdcdm Sows E] S,GA ❑Type ElResidua t-1 Pam Reath. ❑wM RelacBon <br /> Mar"RekmrOe Number. <br /> 17b.Attmwto FW Rly for Geroratoo U.B.FFA ID Number <br /> FxWs Phone: <br /> 17t lure of Aldmsb FadW(or Gunvaior) ,.I,�,y ar Month Day re <br /> FEO//1N <br /> �•hr, 4 <br /> 18.Designaled Fanfdy Owner or Oprafor:Carlo lon of receipt of malertab covwW by the c "Adin <br /> PnnWfyped Namn II rr y` - Montt Day ygw <br /> 169 BI-C-0 6 18498(Roo.9MO) - �- DESIGNATED FACILITY TO GENERATOR <br />