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NIJl-HA=ARDWS 1.Generator ID Number 2 Page 1 d 3 Emergervy ReWotree Phone 4.Waata Tracldng(limber - <br /> WASTEUANIFW CAC002957105 1 SSD-331-8013 A1111805t009-'i: <br /> 5.GerwraWa Name and Mat ft Adam r:9ner-En"a 9119 Addrsee(R d1kr?nt then ma"addro") - <br /> SLN AAEPJJJLLAPARTIdENT COAAMUNITIES. 1004 ROLLMS ROAD <br /> 3DfJD EX BMTrVE PARKWAY,SUITE 450 MAUNGAMIE,CA 94010 <br /> SAN RAIMON.CA 9A683 <br /> Ganarawn Pham <br /> S.Twmpodor 1 Compaq Noma U.S.EPA ID Number <br /> T Trarrpator2 Name U.S.HA ID Number <br /> ZL <br /> a67"f�Qp� a�l� U.S.EPA ID Namber <br /> 81.ASLlAl9 8a�LANE <br /> 627 <br /> ' s Phone: 707-432,4 <br /> 9,WaO SMpprig Name and Daecdpdon 10-conwrws 1i.Total 12 UM <br /> No. Type 11 Oummly YytlVd, <br /> gg 1. NONiVZAMOUS WASTE SOLID OL) 1 DT 18 Y <br /> z 2. <br /> 4Wo <br /> 3. <br /> 4, <br /> 19.Spat'HFn*g ksbucaona and Addlorwl Inlorm don <br /> 8-333 <br /> BILL TO: CATALYST ENVIRONMENTAL <br /> 14,GWERATORVOfF UMB CMFICATION:I hereby de*n that the cor*mW of ft c%Wpvmd aro fully and acwrately dewti above by abby the proper obfppvrg name,ad are desaled,padraped, <br /> marWd and 4st> rdad,and are In aA reapeds m proper cortdtllon for hwipmt accadng b oppk"irtwatimW and nAoW qmwwqftMVLkwoM <br /> Ne <br /> � <br /> `� PrinlwypedNwne Siytw(ura + NorAr pay Year <br /> ti^+ pRtl <br /> fs <br /> 15 tnbrnaww Sfdptavda ❑Impel to U.S. 0 EVW from U.g Pat ul erdryle:dt: <br /> 7 r Skmaturs ft avads Dale 6sim U.S.: <br /> ¢ id Tranrpoft Admwisdrart of Of mahmaia M Ye1lr <br /> Trarmpmkr 1 Pd wow,, <br /> L <br /> 3 Trwwa wder 2 P&lsd7Wd Name 81yfMdNfa L'mth DW Yw <br /> eF� 17.Di wmWocy <br /> 17a Disaeparwy Indketlon Space ElO-fry ❑Type ❑Residue ❑Partial Re(eceon El No Reje . <br /> Man'"fldaramx Number: <br /> 17b.AhM to FOM(a Gorwrator) U.S.EPA ID Number <br /> a Fad ift Phone6bMh Day Year <br /> 170.9lgrtda d Abernele Fa0ty(a G9nar� <br /> �F <br /> cl <br /> to Da r&%d Fac*Owner or Operator Cerftion of nc*of rnalarfala t mvW by aro nw flan 17a <br /> Pdnladyfyped Neme O mo* Day y"r <br /> 169-BLC-0 6 10498(Rev.909) � , DESIGNATED FACILITY TO OENERATOR <br />