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NON41AMODU9 If-GwxwulDNMbef 2.Page t of t Emergency Response Phare 4.Wesbs TreWng Nucrber <br /> WASTE MANIFEST CAGOOM7105 1 650.331-8013 NH 18%1009- <br /> 5 5.Generator'e Name"Me%Admaae - Generator's She Address(R dhlerere Then maWV address) — <br /> SUMtVffRHB.L APARTMMT COMMUNITIES, i 009 RQLLJNS ROAD <br /> 3000 E'eoff1VE PARKWAY,SUITE dSO f3W9 RO LIN R D 0 <br /> SIN RAMON.CA 94688 <br /> civo=re Prone. i <br /> 7r gator 1 con 'a <br /> rrnp U.S.EPA ID Mlm!>er <br /> lJTAivpotiR2CornoanyNane U.&EPA ID Number <br /> U.S.EPA ID Nudw <br /> &TTRRERRO HUS <br /> LANE <br /> F 707-482-4B27 <br /> 8.Waste SNpm Narm and De=06Dn <br /> 10.Cmtelners 11.Toter 12 Urrit <br /> No. Type Oustay wuVol. <br /> 1. fd01TF#iP17 RDARIJ�U�^ SOILID(NONI�HR7ARDOlfS SQiL) 1 DT 1$ V --- <br /> 3 <br /> 4. <br /> 19 SwW Hwxft lolnrctlons and Aditonel Inhrrmndar — <br /> 1)PHLF 8-333 <br /> EILL TO: CATALYST ENVIRONMENTAL <br /> 14,CaERATORVOFFEROR'8 CEOFICATI01t•1 hereby decfare that the eorft to of tine conslgnmrmt are fully end ncurrately desr.nbed above by the propor shipping name,and are dassied,packager{ <br /> marred and labeledlplec rded,and are to aA mapects m proper oortd bon lorwn"d a=dng to Wpbcebla u nvm;wal axl no"govern Vero. <br /> G slohamea PPr�.n WI'yped Nwre Sltputu e — — . _ Mo(M Day Yaer <br /> —GY Fo?- <br /> 15 tnEerrrefionel�rlpnrerAs �--I <br /> LJ 1mpm to U.S. ❑Export from U.& Fat of-Ihyk <br /> Tmnspxlcr rmfuro#or exparts octy): Date bmw U.S.: T' <br /> w 16 Transporter MAnw4dgrrW of Recefpd of Moorele I <br /> T ter 1 Pd ,pd NarT ► g� -- -- mom ley Year <br /> T rter 2 P irrle YTyped Naltspun --— (avy ow <br /> +� <br /> 17.Docreparwy — — <br /> 17a Cls repuxy In[icatlm SpaceEJ <br /> Y El Type ❑Res&. — ❑Parw Reod. ❑Fuh Rejecttm <br /> ft <br /> Marelecl Retoraurn Number. _ E <br /> 170.Alta wo Fachity for Gorwratat) --—! U.S.EPA ID Numtxa <br /> r ' <br /> FaciG!y s Phone: ;I <br /> —1-Signature of Altehatle Fadlty(or Gone-Ar) NI i 1111INIINI 1 Month Day Year <br /> z <br /> JUN 0 5 2018 <br /> t <br /> Ivan n IULLC Low lir bb <br /> 1 h.DestgnoI d F.*y Owner or 019M r:OeriiodW of rec*l of matarf &gAUaLLN_V„aantest exceM is noted 2Asm 172 <br /> Ilmled'fyped Name Slgrudura Momh Day Year <br /> 169-eLC-0 6 10493(Rev.9108) DESIGNATED FACILITY TO GENERATOR <br />