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NONf1A7ARD0US 1.Generator 10 Wiftber 2.Page 1 of 9 Emwgwq Rwoma Phase 4.Wb%Traddng Plumber <br /> WASTE MANFEST CAC002967105 1 65D•331-8013 1 NHIS061009-;' <br /> S.Gerwalore Name and M.adbtg Aftm SienemWs Re Adcaenz(P dli omM dean msd#ng a ress) - — <br /> SUMMERMLLAPARTMENT COMMIJMTE9- 1009 FtOLLNl9 ROAD <br /> D <br /> 30D0 M(ECUT1VE PARKWAY,SLATE 450 �,GA �f3i 11 <br /> SAN RAMON.CA 2M3 <br /> GWleatora Phone <br /> 6.TmnapofW 1 Carfprary Nkm <br /> L9 0 { /f ^ -Y) U.S.EPA ID Mrrow <br /> 7.Tmop W 2 Ca,fpnny Nems L (!/7�J C� U.&EPA 10 Mm�ber <br /> & "IU.S.EPA ID Nomber <br /> 35 g pp SII�YOTSU .TRRERO H LANE <br /> ,4627 <br /> F - a Phone: 707-432 <br /> 9.WastePRn9 Name n 1a.Cma nm 11.Tolal 12 Daft <br /> NO. Type ouproty WuVot. <br /> 1. Pl AM SOW( "-*SOIL) 1 DT is Y <br /> 2. <br /> i <br /> y <br /> 4. <br /> 19.Spec'ALF 8Wtv <br /> .33r and Adcf mW InfommYm <br /> 91LL TO: CATALYST ENVIRONMENTAL <br /> 14.GiowMTOFMOf4S{t7R'81SH FICATO1k 1 hereby dealers that#m om"of are carolgxrwd are fatly pfd acontely dewormed above by tla proper al qwv name,and ere dsssi ,mduged, <br /> rrm r and labele6plecarded,and are rf aR respects m pmpes cwdtdon kr barig"arsordng bD eppbmbl4 mAarrdtrAW ad ralim W bona. <br /> Gen lor'aK&MrsPr9NerYlyped Name ��yy 3valum ' �b * <br /> Mondh Day Year <br /> �fl 9 <br /> 15"VnetiDnal Sldpmena ❑Import to U.S. Li Export from U.S. Pelt of erdrykfdt: <br /> TrmwoAer Sun tfa amoAa or vl• Date lemim U.S.: <br /> X 18 Tramproriu Ad ny*dprW of taemelpt ol MatmW <br /> T 1 d J` Slgntlae / atorNl Dail Y�Op <br /> T <br /> of d Siglwrm 6fonlh Dey Year <br /> 17.Dmmpkq <br /> i7a Dim"ancy 1ndblim space ❑ y [:]Type ❑Reww ❑Peru Aeledlul ❑Ful Rei d. <br /> Reknnrce Number.: <br /> 17b.AltMM FAdW(or G9r*2tM U.S.EPA ID Number <br /> Faciliy's Phan: ��E, <br /> 17m Soulta of Alsmels F404(oe Genendor) Mmmh Dar Yea► <br /> J11.4 7-1 <br /> 16,Dasfynaled FK*Owrror or Opaalor:CerYliadbn d rac aipl of momble moored by the manifest except ikikil m Ilan 17a <br /> PmWyped darns Mmnth Day Year <br /> 169-BLC-0 6 10496(rias.WW) DESIGNATED FACILITY TO GENERATOR <br />