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---7: <br /> NON#IAZARQDUS 1.Garrenator 10 Number 2.Page 1 of S.Emergency ResPonss Ph" 4.Waste Tiaddng Number <br /> WASTE MANIFEST CAC002957105 i 650331-8013 NN18t]61009�/L' <br /> 5.Generator's Earns and Mai fry Address G ru ralor D Silo Address 9 dWMrA than nhsieng 110M) <br /> SLMMERMI LAPARTMENT COMMIJUTiES. 1009 ROLLINS ROAD <br /> 30d(I E 0KUTNE PARKWAY.SAUTE 450 @RLJNC3AME,CA 94010 <br /> SAN RAMON,CA GM3 <br /> Gvwa rl Phe"°. _ <br /> 8.Trerteparor 1 GINrpanry Noma U.S.EPA ID Number <br /> 7 Traheporter 2 Company Nemo U,S EPA ID Number <br /> &Dp~R7 T VN&"1. U.S.EPA ID Number <br /> HILLS MOM815 LANE <br /> '707-432-=Fac*4 Pitons: <br /> 1O.containers ti.Tenet 12 Unit <br /> 9.Waste Shi ov Name and DascdOon No, Type Ouanzy WWd. <br /> 1. RIO ) 1 DT is Y <br /> 2, <br /> 10 <br /> 9. <br /> 4, <br /> 19.S�.WHandling lvenotions HILE 18-333 and A&Woner Ydomreton <br /> O LL TOr CATALYST ENMON iENTAL <br /> 14.00MRAMAVOFFiR R'S COMFICAT10rt I hereby dedae that the contents at tine camlghmod are hdlg and s=mlely dexabed above ay 1110 prapsr shiPplrg mane.and we dassAW,packaged <br /> marked and lebeled0acarded,and are to at respects in proper cor dltbn for ba mpod s000rdrg to apphoeblo anlemattanel w4 rairorwl9wffwVj4F00U0M <br /> GeneWOUWa Prkladit'yped Name Signature Manl h Day Year <br /> Q � - <br /> 15 kdmrationai s aft ❑import to U.S. 0 Export from U.S_ Part of ardrylmdt: <br /> Traaoorter SOdum(for woofs nnN): Data hmAw U.S.: <br /> cc id Trargtater AdmorAedgrrard of Reoslpl of IM Wiels /1 <br /> Tranapotiar 1 PdrteNTypad Nacre <br /> mom t Year <br /> Sol" <br /> Day <br /> Tm%NT 2 Pdr&KYTyped Name I Year <br /> er <br /> 17.Dieaeptetcy <br /> 17s.Uwmpanty Indrdtlat SPace ❑fuentlty ❑Type ❑Rwdue ❑Padfal Re� ❑Fup Re(ectlon <br /> Hardest Reference Nurtdher• <br /> I 7b.A1kCihete Fadity(or Gar"o() U.B.EPA 1D Number <br /> Facility's Phone: <br /> 17c.Si idue of Altemals Fadily(or General r) Ph. <br /> Month Day Year <br /> V1 <br /> �ACLY14)' f LCil <br /> 11¢1 r�r " <br /> 18.Desytieled Paahty Owner a OperMa:t�rriicatlon d d rrteiariala nottxed sari ®noted in item 179 (J i !) MonthJYear <br /> PrinbMwedNarita (t re f^fi;,,,j;l!' <br /> F <br /> i <br /> 169-BLG-0 6 10498(Aw 9/09) DESIGNATED FACILITY TO GENERATOR <br />