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NON-NAWDOUS 1.Generator ID Number 2.Page 1 of 9.Emergency Response Phone A.Vyeete Tm*ng Hume <br /> WASTE MANIFEST CAC002-%7106 1 65x331-$013 NN18061009- <br /> 5.Gerterahx'e Name end Malltnp Aci bass - - - Germtoes SM Address(@ dgferert than rnaNnp address) <br /> SLMN ERHUAPARTMENY'COMWNITIES. 1009 ROLLINS ROAD <br /> 3800 EXECUTIVE PARKWAY,SMITE 450 BUi UNGAME,CA 94010 <br /> SM RAMON.CA SMS-3 l <br /> G sPhone 11iQQA-Q107 <br /> 8.TmmpolW 1 Cmn 4ny fgmm r U.S.EPA ID Number <br /> 7.Tm-?Orter 2 Catpeny h'gme U.S.EPA ID Number <br /> g Des"i jkb �� U.S.EPA ID Number <br /> XTS POTRERO HLLS LANE <br /> SU!",CA 9M555 <br /> FaA s Pturta: 70T-432-4E27 <br /> 10.Cmlatners 11.Tole! 12 Unit <br /> 8.Waste Sfipoxmg Na 1e and Desc mon <br /> No. Type Ousrtrily W-A'd. <br /> 1. NO E SOLID(NOP-MAZARCKM SOL) 1 DT <br /> = 2, <br /> W <br /> 3. <br /> i <br /> d. <br /> 19 Sp <br /> ec <br /> ?PA II mstubons and Addifonel Informa0m <br /> F 8-333 <br /> I3 Ta. CATALYST ENMONMENTAL <br /> 14.GENERATOR'&rOHWW'S CERT MATZO W I hereby dxbm that the portents of Mtrs a mfgmtertl ems 0*end wcomtely described above try Its propor shipping name,and ass da2skrd,pad+ag4 <br /> madood and Welrn oocarded,and are in sH respects in proper mmlbon for huupod&=d N be eppicable vrle nOomd and nei W gavam neons. <br /> Ge Drer'e PtlnleNTyped Name 09F, � 8lpratwe • I� I tdortet Dry Yt;tr <br /> KMQ�� &k. <br /> i5 IntRrVtubrird Shtpmncnis <br /> ❑Impod to U.S. ❑Export from U.S. Pat of erdryleidt <br /> TmfuoorterStmeWro r e rte Dab WWng U.S.: <br /> cc 16 Tmapmler Adnmvledg non of PWoW of L WwW <br /> Trwmporler1 PdrtvYTypedNorm `J �) Soreture mom Day Year <br /> Trampoft 2 Pr1nto6Typed Name 31gneWrt Month Day Year <br /> I <br /> 17.Disc gmcy - <br /> 17a DfsmTanay IndcaU.Space ❑oiarrtty ❑Type ❑p is. ❑Partial Wi d. ❑Fug PAecdon <br /> ManAFleforerno Number: <br /> 17tL AHernate Faditty(a Generator) djFl./ U.S.EPA ID Number <br /> Ul/1pp�fl <br /> FacHity's Phone: <br /> Month Day Year <br /> F 17C.SlgmrWure of AHentele Far�lly(aGe:tasatar) <br /> z <br /> I ( ! a <br /> 18.Oe*noled F30W Owner or Opr oix:CeAi cdloo d reccfpt of rrrWerlals cveered by the nrmr test extgA as noted in Mem 178 <br /> PrirteWyped Name Slgtaturs Month Day Year <br /> I W13LG0 6 10498(Rev.9109) DESIGNATED FACILITY TO GENERATOR <br />