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co, <br /> NON4IAZARDOUS 1.GenetatorlD Number 2.Page 1 0l S.Flnerpatrq Response Phone it'—waste Trsoldng Number <br /> WASTE MAM EST CA0002967105 i 650.331-8013 NNi8D610D9-z( <br /> S.Oarw tugs Nrrie and LW*g Addtlree GerrermW$Site Address @ dlflerert frarr nratlry address) <br /> SLLAPARTMENT COMMUMTES. 1009 ROLLW9 ROAD <br /> 3000 EMCUTIVE PARKWAY,SUITE 450 fI1!! ECA 94010 <br /> SAN RAMON,CA 9M3 <br /> Gwwgofa Ptaxk A15-294-MM <br /> d mftFoftr 1 r � � U&EPA ID Number <br /> 7.Tm apotter2 Name U.S.EPA ID Number <br /> �L U.S.EPA ID Number <br /> 3675 POTRERO HILLS LANE <br /> Fa Mono: 707-432-4627 <br /> 8.Wavle Sttippyg Name and Deecr>pdwi <br /> 10.Cmtakm 11.Tota! 12 tlmt <br /> No. Type Qum* WWol. <br /> 1. v (N{ �RZAF2dOdJ$gOfL) 1 DT 18 Y <br /> W — <br /> V3 <br /> 3. --- - - <br /> 4. <br /> 13 SpecW Hsnarg lagruotlom and Addfonal Inbmfm <br /> 1)PNLF to-333 <br /> O L.TO: CATALYST ENV�''iONMENTAL <br /> if.DBIEIIATOR`fifOFFOM-S CERTIFICATION.I hereby declare that bre conterb d ft com?grmcnt are My and amrrately desr.nbcA aborts by the prv(wr 6b pprg name,and are dessilK packaged, <br /> rnaftd and Iaboiod Ancarded,and ate in aA mopeds in pmper m-ddon Ias ImnWrt uccordng to appka A mtarrmt mal and rraYared govern eoms. <br /> GeneVO JOtFara s f rnted/iyped Name Sigrkiture r e Nonh Day Yur <br /> 15 Inkmafend Sldyments <br /> Impod m U.B. hrport from U.B. Port aI entry/erdt:_- <br /> 1'tans rtar Sxlinture(far erL4 oriy� Oete <br /> it le Tn gmft AdutowiedQrretQ of P"pt d MomM <br /> Trdasporler 1Pdr6rd/#yped m/mlm Day Yet <br /> 1' <br /> Ttartcpodar 2 PriniedR Month Day You <br /> 17.8iamwancy <br /> 17a Ciscmpmmy Irdcabon Spac9 1:1 Cay Tn. ❑Residue ❑Parffaf&*ctW. ❑Ful W. <br /> Marule:A Rc�renca Number. <br /> 170.AAnifie FWW la Generalory -- U,6.EPA ID Number <br /> Faofays Phone: <br /> 17c.Slgnati a of Altarttele FatAA1y(a Genarabr) Month Day Yea <br /> 18.De*naled Featly or Opara W Cmikal]w of recepl of mewials emwed by the manfieeat except as noted in Iter 17a <br /> !>;r,tmnyVrd Nnme Sigmtum MpMh ear <br /> (A! i,b I� I I. <br /> IMBLGO 8 10498 g" DESIGNATED FACILITY TO GENERATOR <br />