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NON�HAZ.aRDOUS 1.Generator ID Number - 2 Page 1 of 9 Emerwricy Raaponae Phone 4.Waste Traoaing Nae W <br /> WASTE NARFEST _CAC 002967105 I 1 1 650 331-8013 NH18U61009- <br /> S.Gcricraloee Nwne uv1 hix.'tg A(dmos C ?ura Silo Addreso pl Okmnt Ilton mn'Ffw)eddross) - <br /> S1. .L APARTL(MT CONN& MTES 1008 RQLLLL P!9 ROAD <br /> 30D0 BOM VE PAR"AY,MATE 450 L It}QCA 94010 <br /> SAW RAMON.CA 94883 <br /> C-e(Icfaml,sPfwne diS9 9-01Ai I �, <br /> 8,TmrmporwrICompany Nalm - - --- <br /> U.li EPA ID WMW <br /> 7.Tio mpabu 2 Company Nww -- <br /> us.EPA ID NaarDer <br /> a°eVj?�" _.. tL&EPA ID Nilimbar <br /> MOCAM O35 L <br /> 707-432.4W <br /> FoWi 's Phone: <br /> 8.W80 SNPpirg Name and Deecrlptlon 10.Crrnekiers 11.Tom 12 w <br /> No. Type Qomillty, WUVd, <br /> T Nv - SQiJD(NK?P!►1osRR000S SOIL) 1 DT 18 Y <br /> z. <br /> l <br /> 4. - <br /> i9 SpKW Handiflig Instu lkos and Additional Infonnfty <br /> 1)PHLF 18-333 <br /> W-L TQ: CATALYST EWPONMEWTAL <br /> I. <br /> 14.O0ERAT0R`t10FFVl -6 CERTIFICATIOW I hereby dectm dad the wrnenta d the m*ifjvmont we fu#y and a=mlely dearrrbed above by flea proper Orpping name,and are dammed,pottage, — <br /> rrwdald and iabeioapkadrded,and aro In all rospvcLS in proper condition forIgropod acmdng m appkable mearmtrmal aril naliorad govcm .j -aams. 1, <br /> G�aTMerola Print � Sgnahne , • / Manth Day Year i <br /> 15 In*r.&ra l Shlprrentsi <br /> Ilaperl m U.S. EVW(toll.U.S. Fort of Wdgoe at: <br /> 7 r S n�lure_jta e�drM mly): Dab barin9 U.S.: - r <br /> C 1B Trw%porter ArimoniedpW.of Recelpl d l m*Ws <br /> Tramportcr 1 Prir&iflgmd Name ;;�A T N A <br /> Trznspdrter 2 Printed tTped Name <br /> SlgriWre A1onGl Day Yew <br /> IT Dsm*Nxy <br /> 17a.VAWMPurcy lay atlm Space -- - —- --- l <br /> Ouarary ❑Type ❑Residlra ❑mw Reledlal ❑Faq <br /> Hammes.Rehlronce Number. � ' <br /> Y._ <br /> 17b.Aft IMM Facility(or Generator) U.S.EPA ID Number <br /> ;u <br /> Facdiy's Phone: <br /> 17c.Sgnafua of Allemele Facility(or Gene alor) - - Mglpl pay yam, <br /> ,:. <br /> 18.Designated Fealty Oww or OpwaW..CaNce bn of rw*l of mWwi*tutored by ft 1A1QIft except an rated h flan 17a <br /> PmterYiyped Nartw re - —— - -- Month pay <br /> 1ft-KC-0 6 10498 ev.WW) DESIGNATED FACILITY TO GENERATOR <br />