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N0144A7ARD0115 1,Gcmator ID Nwber 2 Page 1 a1r&Emrvqency Ra5po PPhono4.TW"We Tmwng Nw"lw <br /> WASTEMANFE6T CAC002967105 1 31-M I NH18061QD9- i <br /> 5.Gwwmtors Nerne and Maft Addrou Generadors s'do Address(R diRrent than m3ft addm$3) <br /> MAAAquiii-LAPARTMENT COf&AUNTfES. 1008 ROWN9 ROAD <br /> 3000 EYOMJTNE PARKWAY,SUITE 450 MM-NQAJAE,CA 94010 <br /> SAN RAMON.CA 94M <br /> Generator s7°' U.S.EPA ID Atmrbar <br /> 3.Trorrporlat 1 CW"IY NEW <br /> 7 Timeporfer 2 Cant"ftm U.S EPA In Number <br /> 0.Dw8 1 10.V� U.S.EPA ID NombeMr <br /> H!. 94$�as <br /> TD7-432-dE17 <br /> F a Phorb 10.conw wa 17.Tata) 12 Unit <br /> 9.Wao SNppng Name and Dee e0m No. Type Quarm1' WLIVOL <br /> I. WASTE SOW(ludill•IiAZAR[Kius sm) 1 DT 1$ Y <br /> 2. <br /> m <br /> 3. <br /> 4, <br /> 13 Special R47LY Hwx*g <br /> Im Cnc and kA#WW Inloamilon <br /> BU TO[ CATALYST ENMONNIENTAL <br /> 14•QWMAT0RV0R9iRW dm that the mftft d hu=W rm(A am fatly and aoantoiy deed atam by Or MW abWV name,and are deemed,peckaped <br /> marbled wdd lebeledlpiacmded,end aro m sl mpocm mm pp q*r cvaton lot barupod accordng to oppirabM iAmrtbonal ad rMia et orw <br /> LJ PrkftMy*Nam at! Ma* Day Yaw <br /> 1S labmrd ww stdpnrerda ❑Impo i to U.S. EJExport from U.S. Port of anlryAndr <br /> T rS ro U.S.. <br /> ¢ 16.Tra uporter Ad nodMdpW Of PACW d MAZE k <br /> Aip7pr <br /> Tra�nlu 1 PdfwT Nano SlgxWre <br /> Trarcporw 2 PrbAadrfyped Name $fgrrWln Month Day Yew <br /> 17.Diaoreparay <br /> 17a Discrepancy Indatlian Spur El ourtly ❑Type ❑Residue ❑Parties Rewon ❑NO . <br /> WrAesl Reference Number: <br /> 17b.NWm&M FO(of fiOMtor) U.S.EPA ID Number <br /> X. FxWs Phone Day <br /> Year <br /> $ 17F*a n of Ntemefe FedldY for Genw*r) MAonh <br /> 0 <br /> 16.0wignbd 0!2n Operator Cwooa m of receipt of rr Wo*h owrwad by he menI*except®aoted In darn 170 Mond <br /> t'mlad(�'Ped � <br /> 169-BLG0a 10498(Rev.eros) DESIGNATED FACILITY M GENERATOR <br />