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NON41AZARDOW 1 1.Generela 10 Number 2 Page 1 of 9 Emergeny Response Phone 4.Was%Traddng Number - <br /> WASTENANIFEST CAC0029571p5 1 660.331-8013 NHIa IW-Q-^ r <br /> s.0onerata'a Name and MON add sae —--- &&tots see Address(n dlorera than m aq ad**) — <br /> SLY&AEFOlLL APARTMENT COh4e MTIES. ROL1dV <br /> 009 18 ROAD <br /> 3000 EXECL VE PARKWAY,SUITE 454 009 ROLLdE, 944i 0 <br /> WRAINON.CA SM3 <br /> Generators Phare. 415-994-OW7 - <br /> e.Tramporw 1 Cmryar -- U.S.EPA ID Number <br /> k x �1 <br /> 7.Trerrpdrder 2 Cmm"Name — UA EPA ID Number <br /> 13- V WUUrµFLI. U.S.EPA ID Nomba <br /> 3675_ POTRERO HLLS LARNE <br /> SLRSIJN.CA 94555 <br /> 707-432-4627 <br /> Fnthr�Plwno: <br /> 9.Waste 9hlpprg Nartre and DmcVtlon <br /> 10.Canlaum 11.TOW 12.Ural <br /> No. Type Guff* WLNol, <br /> 1. iso SO9_) 1 DT 18 Y <br /> 2 <br /> t0 <br /> — _ 1 <br /> 19 sfucral Flanft ksWcUons and Add3unal In:ortr rd+.ri <br /> 1)PNLF 1$-333 — ---- ---- - — <br /> MLL TCr CATALYST ENMON MENTAL <br /> 14.GO9tATOR`CIOFHiFW'$CERTIFICATION•I hereby r cbm dvit ttm. rJ l.N I carc:grmard aro my aryl emirately desUtDed above by aro propof shWq name,and aredaeaied,pedieged, <br /> reed*end 4tetodpb+rarded,and are in es respects m proper coMioen lar Iransport soaru N to appbmbW eternal mel and nabonsl qunmmV,4kywjalom <br /> G s/offomrs Printad(fyped Name8ignpue -'~ �l. Mwlr Day Year <br /> 15 hdenudlonal Shiprwls <br /> ❑ �-ff <br /> Impod to U.S. U Export from U.S. Port a1 entryleyA:--_ <br /> TnuMorter S na:um?fore)pods Data kav'M U.S.: <br /> id Tramporles Arinowledgmad of RscW of M aturfels - - <br /> TrdzpoAer 1 PdraeMyped Name SicgttlurC - MOM Day Year <br /> Tmnspormr 2 PdmeWNW Name Slyromm 1 J -- --- monm Day Year <br /> 1 <br /> 17.0Acn*arxy --- - — <br /> 171L DIscr pwcy Ind!rnbon Space ❑Qtmnay ❑Type I_J Residue ❑Partial Re)ectiat ❑W1 Realm <br /> Mamlasl flalnro+rcro Nurnbur. <br /> 17b.Affcmato Fadf ly(or Gerrareta) -- U.S.EPA ID Number <br /> FadiN's Phorre <br /> 17C.Signalum of Aftsrtmm Fabry(or Gonerator) Month Day Year <br /> 10,Designaiad F-am*Oww or Opener:CarfloaWn of receipt d rrre wWo cvrmed by Ora reser rxcr noted <br /> F,riQ*9Md Name Nm �i4 Mort Day Year <br /> 16943LC-0 6 10498(Rev.4109) �� DESIGNATED FACILITY TO GENERAMR <br />