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3 « '-� t2 <br /> NON4iaM DOW 1.Generator ID Number 2.Page 1 al S Emergency P,eaporme Phone d.Wash Tnoldnp Number -- <br /> W&-MMANIFfST C,AC 002957105 1 650.331-8013 r 1eo61ooa :J <br /> 5.Gahmatrx'a Name and M0kg Mddraae Genefatara Bfb AddMN(R doerert!hart melte addreaa) <br /> SWAASRHILLAPARTMENT COMb1I NITE9. 1004 ROLLlptS ROAD306D EXECUTIVE PARKWAY,SMITE 450 BIRIJNQAlth1E,4A 94014 <br /> SM RAMON.CA 94683 <br /> Gorwamre Phar <br /> 6.Tt�ppolw 1 Cam"Nam U.S.GPA ID Numbm, <br /> 7_Treropater 2 OmMary,Nemo U.S.EPA ID Number <br /> a �67c � U.S.EPA ID Number <br /> AA �4 5�HLLS LANE <br /> 707-4324WF aPhone: <br /> B.Waste SMpprhg Name and Deecrlpuon <br /> 10,Glorltalrhers 11.Total 12 Urdt <br /> ND. Type Ouhehtdy WUVd, <br /> I. McmtAZARDOUS WASTE SM) i DT 18 Y <br /> 2. <br /> s. <br /> a, <br /> IS.Sj �Handft <br /> Rfir MW 3m and Adi6aud In►ormaeon <br /> BILL.Tb: CATALYST ENVIRONMENTAL <br /> 14,t IUMTORVOR901%CUMFICAM*I hereby d%tuc that the cenlahb of lhm emhatphrndht am k ly and accurately dwAN above by the prcpor shlpp M name,erd are deemed,p paged, <br /> Merl ad arae Imetadlpisca ded,and are in of respects m proper cordidon for Nmhtaport acowdrg to oppkmbk adantiorw and rhstlwdgovorworryoputnumm <br /> Q alO^!Names P cWTyped Nanta Si velure&�ff • Nonlh Dayrul <br /> Y+rar <br /> u aVjw- <br /> iS A�� <br /> IL <br /> ❑Impod to U.S. Etq of film U.S Port of wtykdt: <br /> T r 'rwd- rte Dela U.S.; <br /> ac to TranVmler Admohvledpro t of Naeoeipl of Moterwh <br /> T�papotler 1 Pdniedrryped Name SighaWre A(DnOh DAY Year <br /> � )9-5v) )T ► J 06' p <br /> Tranyrorhr2 PrbdetKryped Name ro Morhlh Day You <br /> 17.Oiaorgherwy <br /> I x uscreparay Intifcatlort Space A ❑Type ❑Residue ❑Peru ❑WI pwedon <br /> tlorhYect Re(eranco Nurrmm:. <br /> I M A mfr Peaty(or Generator) U,S.EPA ID Number <br /> U; FacSty's Plane: <br /> M.Signature of Agarrhele Fadlity(or Gerw*r) J� Mm h Day Year <br /> 6 <br /> ie.Desiprrlad FaDlry Orr a t]p.reloc Certilcatah d racapt d malerida rxurered bf hho mmidast except the 17a <br /> Praha ryyed Weme t3ighabrra <br /> Mob Day year <br /> 169`BLC-0 6 10490(Rau.9ft) DESIGNATED FACILITY TO GENERATOR <br />