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N%4iAMDDUS 1.Generator ID Nunber v 2 Page 11 1 Emergmny 110VOI a Phare 4.Waft Trsoldng fewdw <br /> WASTE UAMFES'T CA 7105 _ 1 6511.331-=3 NH18061009-`% <br /> 5.aww&ea Name and M,vltp Aftw denaralora air Address M dMferent then am*Q tea) <br /> 9AMML1-APARTIAM COMWJMTE.S. 1005 ROLLMIS ROAD <br /> 3000 BE CUT1VE PARKWAY,SUITE 450 BMAGAME,CA 94010 <br /> SAN RAMON.CA gms -W <br /> Gene sWs Mom _ <br /> 6.Trona �ryName� / U.S.EPA ID P1uaber <br /> 7-Tmmipartor 2 Company Nance U.S.EPA ID%mbar <br /> S.Dj"j406 U.S.EPA ID Number <br /> 36T V T1RO.�iHUB LAW <br /> $I .CA M35 <br /> 707-432-4627 <br /> F a Rsarm: <br /> tn• 11.Told 12 Urdt <br /> A.Wavle SMppng Name and DBmeom <br /> No. Type Ouartity W1JYd <br /> 1. HOWPOMMUS WASTE S SOIL) 1 DT 18 Y <br /> J <br /> 4. <br /> 1a.��w�6t ons and AdMord mrmycf, <br /> -333 <br /> 81LL.T0: CATALYST EW RONMENTAL <br /> U.GMMATDq'flOfF RM%M RFICA=*I hereby deskre that the cw iwb of gm comlgrunerd bre kbl'Yd&=lately dmitbed atom t y ft popor sh ff g name,NO NO dam&!d,pet IPp <br /> nwr«ed and Lteia rpta ed,and aro m ae Mepecis in proper cors Om(or LmAwd accordrg to oppbc"inMr>4trorat and rua6er e1 are. <br /> GcneT Moro PrintedfT'yped Name svolureVfe4ff4 <br /> • Month Day Year <br /> id nd ids <br /> lnWndk <br /> ❑Impod m U.S. ❑Export irom U.S. Pat ofwtykok <br /> Tram r StrWurs.Opr expaits DeW U'S': <br /> s 1e Trontpoft AdmowWdgmo d of NaDW of MAIM* <br /> Transporter 1 Pdr&Ay* Slgrrture Marth DAY Year <br /> ASonth Day Year <br /> Trarxspnr�2 Petrrtedfl)ped Hanle ro <br /> V.Dior*wiw — <br /> 17a DismTmcy Irdcdon Spxe Q Qmny Typ' ❑I due ❑Fardel ISe}adkn 0 P+,�Reledlan <br /> _ ,t taelerence Number <br /> 17b.MMaw Fadky(a Genaabr) U.S.EPA ID Number <br /> FadWs Phare: <br /> 17c.Slpnature of Attsmato Fadfly(a Gow*r) Month Day Year <br /> ,(gyffQU <br /> 18.Owignated Faa*osrrer er ca.retV-CWWWbn a receipt Of matwtda craned by de"Mftm q-cw tlen 17 <br /> Prtft&TI ped Name a Jty�7 mwb Day You <br /> 169-BLC-0 6 10498(R&V.WN) r DESIGNATED FACILITY TO GENERATOR <br />