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WM-HAZARD" 1.GmereUx ID Number 2.Page 1 of S.Emergaray Response Phone 4.Waste healdng Number <br /> WASTE MANIFEST CAC002957105 1 650331-8013 NH180610D9-j) J <br /> S.Generators Nemo and MON Addnoes GeneraWs She Adcbm M dylawri than melhq WdjeW) <br /> SUMMERHILLAPARTMEdT COMMUMTIES. 1409 ROLL8V3 ROAD <br /> 3D60 E3®CUTIVE PARKWAY.SUITE 454 <br /> SAN RAMM.CA 94683 - &MJNGAME,CA 94010 <br /> Generwe Phone. <br /> 8.i MnlpolW 1 COWm Nc= U.S.EPA ID Number <br /> 7.T 2 Company Name UA EPA ID Number <br /> a n U.S.EPA ID Number <br /> LU►S't.M+l,C�aoa5 HLLZ LANE <br /> 707-432.4627 <br /> F a Phone: <br /> 10.Cadelrers ti,Tota( 12 Unit <br /> A,Wavle 9Nppxg Marne and geacdpdorr <br /> No, Type OUM12y WtiVaU <br /> 1. NUN41AZARDOUS WASTE 5 SOIL) 1 DT 18 Y <br /> ru <br /> Lei 2. <br /> m <br /> 3 <br /> 4. <br /> 13 Spec}Han*V om and AdMond Informa m <br /> 9LL TO: CATALYST ENVIRONMENTAL <br /> 14.0BX-RA—ftlAV0FWW'8 CIUMFICATIOW I hereby dwbre tlrat the=ft*of Ona cmnfpnmt ere lolly and aocaral ly deKAM above by dp proper shipping rams,and are deaarled.padweed, <br /> marked and Wbehilpiecorded,and are in as respects mmppoper coWtbn k(WArspod accocdng to appicable intacrOOMMId end nWiorvi aaona. <br /> G a Drr'e Pdnladllyped Name �l) S oVture • Nonih Day Yw <br /> C1111 Jf& <br /> is mkmNbnd SMpmwb ❑Imperd to U.S. D Export from U.S. Port of errhyk)k <br /> Tmewter Signature da Delo WAV U.S� <br /> 1e Tnuispoder Aclut-W mmntd Reoalpt of MXN Wa <br /> Trrnaporler 1 Pdriedg*d Name m Mohr Day YM <br /> S ril <br /> Tra."der2PdnWy*Nams I Month' Day ( Year <br /> 17.Dieuaep nq <br /> t 7a U%wp mcy Ind zkn Space ❑Osw" ❑Type ❑tiesktua ElParlkl medion ❑Full FWectlon <br /> Mai"Rafeuanae Number. <br /> 17b.AheM&Fedfap(or Gn atorl U.B.EPA 10 Number <br /> F*M"Phone: <br /> 17c.519nativa of Aheetek FAc*(or Gww*l YyMonth Day Year <br /> 18.Ds*nsied FacMy Oww or Oparafar.gar6i dm of-*I of ma*d*wvwW by the manNmi except n IlliM <br /> PdnWTyped Name Somiture r,�� Month Day Year <br /> 6 <br /> 169-BLC-0 0 10498(Roar.WN) DESIGNATED FACILITY TO GENERATOR <br />