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NON4 AWDOUS 1.Generator ID Number 2.Page 1 of 3 Emergency Anpofrea Phone 4.WOO Tmddng Number <br /> WASTE NANFEST CAC00290105 _�_1 660331-8013 NH18061009-a., <br /> 5.Germeratues Name and"Aftw Generamra Dse Address tY dMa wd then mminp address) <br /> SLL#AERHLLAPARTMENT COMMUNITIES.AN ROAD <br /> S 1049 ROLUNR <br /> 3000 EmcunvE PARKWAY,SIMTE 450 9L9tLfhOLUN, R 94010 <br /> SRAMON.CA 9M <br /> Ganerab Phone. <br /> B.Transporter 1 Comp"No= U.B.EPA ID Number <br /> T.Trenspalm 2 Canpeny Name U.S.EPA ID Number <br /> &p 3�g W% U.B.EPA ID Number <br /> S1�tSLMV,CA 4585 <br /> 707-432.4627 <br /> Favi 's Phono: <br /> 8.Waste SNpprrmg Name and Description <br /> 1D.Conlahmera 11.Tota 12 Lim _— <br /> No. Type Ouerrtlly WWd. <br /> SCVO(MOnFh1A 0US SOiL) 1 DT 18 Y <br /> 4. <br /> 19 SpeoW Hsndkp IwWcdons;ed Addifionel Irdormrticn <br /> - - - ----- <br /> i)PHIF i&333 <br /> OLL.Tlx: CATALYST ENVIROIWMEKTAL <br /> 11.08IERATOR'gIGfF>BiOR'B CERTIFICATION I hereby declare thai the err to d ft,, c.r;s_ Jli and etc:,r.';11,_u,;,_d abM p:c1 rr 511 ppiN name,and are daio isd,Packaged, <br /> madmd and lebeiedtpiswded.and are in a respects in proper condt o for!,_aspen acmdrg to apple-abto rntenwlcmal end rmionet gwerm ll,t ugdauonu. <br /> GeneWs011aroes PvnlwYFyped Name --- 9 lure wrilh <br /> ��pp ��yj�' 1 1 q� � Day Year <br /> MID WIMS �r` JV '� _ vl'11 <br /> 15 International Moments ❑Import to U.S. t_J Twat hem U.s Panel erdnylemdl: <br /> TrimporleF na!ure(for exparts arty): Do wNft U,&: <br /> a 16 TrArgv rm AcknDNledgrnert,of Hecalpt o?Male alt <br /> Transporter 1 PdrmhrY"d Nerve SwanM <br /> L i <br /> 7t TU i <br /> Tra 2 PdntKVTyYW Name 91prrWreon <br /> 17.Diancy l - - <br /> 17a.Discrepancy Ind catlon Speee ❑Type ❑Rersdue ❑Pedal Fk}wm ❑Ful P*don <br /> A it mild Rehollince Number: <br /> 17b,Altemdo FaMity(of Gervalor) U.B.EPA ID Number <br /> Facdil)'s Phone: <br /> 17c.Sk7nahrre of AMemale Fadlay(or Goremior) month D" You <br /> 'i Z <br /> _ - JUN 0 4 1018 <br /> I <br /> 18 Designated Fwky Omer or Operator:Owgcd n of rscelpl of materials cg=d hwyagww as ire Ilem 17a <br /> Prin',hWyped NBgq re --- fUontlr Day Year <br /> Nam <br /> 16"LC-0 6 10498(Rev 9/08) DESIGNATED FACILITY TO GENERATOR <br />