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NONMA7.ARDOUS t.Gervramr to NL nber 2.Page 1 of 3.Emergmicy Aespnse Phone 4.Waste Trac9dng r+wrttres <br /> WASTE MANIFEST CAC002957105 1 650.331-8013 NH18D61009-4)L! <br /> S.G"rut&s Name and fdal�N Addmsa -- --- Genere s She Address M dGierdnt than maRng addtasa) <br /> SU14IIERHLL APARTMENT CONAUNIT ES. 1009 RO{1.WS ROAD <br /> mdo EI xvvE PARKWAY,surrE 450 BLIRUNGAME,GA 94010 <br /> SM RAMON.CA 94583 <br /> Gonuwil Prow. -.-_-- <br /> B.Tronapo(tvt 1 / U.S.EPA ID Number <br /> 7.Tr>geperter2 Cerny U.S.EPA ID Number <br /> 11 Dl~' Mffijj U.S.EPA ID NOmber <br /> W75 POTRERO H1L.L.S LANE <br /> SUSM,CA U585 <br /> 707-432-4527 <br /> Fxlli s Phan: <br /> B.Waste SNpM Name and DeacdpJm 10' 11.Total 12 uA <br /> No. Type Duannly WUVd, <br /> 1, 1 OT 18 Y <br /> gg <br /> �i <br /> !0 <br /> 3. - - - <br /> i <br /> 4. <br /> i <br /> 19.Special Fie Wtuot mre aid AdMonal Information <br /> 1)PAny i 8-338 <br /> .'SCS; CATALYST ENVIRMENTA-. <br /> 14,GW ERAMFl` *FH t%'6 CERTIFICATIO fh I hereby dedam that the con"of this cumlmnmi era fully and scuraWy demzbed above by the proper 5hippi name,and am dasWkK packaged, <br /> marked and Wxia 4pfacanled,and are in e9 mopeds m proper condition[or 1=port seaadng tv*pkabto mtatna1ional std n0muA o4cna. <br /> Gen c-e%U Faroeo Nntadrryped Name Signature • Minnie Day Yesr <br /> FRI <br /> SU <br /> 15 In,erristbnal 11Import to U.S. a Eu pat from U.S. Pat of aa4yWL <br /> 7 r re su{tods DO wevtna U.S.: _ <br /> Oe 16 Tra eiWer Arinowledanord of li"01 of Vitale <br /> Tra+epaler 1 P' _ ypad S4,(rn / MOO Uey <br /> Transportaf 2 PrinWyW NaNle I Month Day Y <br /> 17.Discrepancy <br /> ITL Giwppuncy Irdlcadon Space ❑ojareTty ❑Type ❑Residue ❑Pa'm Refedl. ❑Fu9 Nedlon <br /> Mwilasl Referonco Numboc <br /> 17b.MMM F"iy(of G(Irtarator) U.S.EPA ID Number <br /> Facaitys Phone: <br /> 17c Sfgoatua of Aflem*FaWky(or Gene0r) frlor fh Day Yat► <br /> 18.Dssig refed Faoiiy Owner or Opwalor:OKWcabon of recapl of malwbils cvmd by Vj1N*04PC44fi in tlen 173 <br /> Pei tae typed Nemo �1 nq/' Umth flay Year <br /> 16"LC-0 o e lodes(Rev slog) 4 DESIGNATED FACILITY TO GENERATOR <br /> � a <br />