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NQN FIAZARDOUS t.Ganerawrk0 Number r2.Page 1 of &Emergwxyespo <br /> Rnse Phase 4.Waste Tracking Number <br /> WASTE MANIFEST CA>Cf 57108 1 650.331-8013 1i8061�09-Ic <br /> s.cRwm,ora rt�r�e end��ng adce�ss - — --__ _ %:ner�a��Sao n�dre�pl iliter;r�11�e,1�eanp�:�a) <br /> ^SLMNAERH9-LAPARTMENT CCWAUKUTFS- 9009 RS3WN5 ROAD <br /> 3060 EKBCUTiVE PARKw,%Y,—gjtTE Oso iI W9 R($ LIN R 94010 <br /> SAN RAMON.CA 94M3 <br /> Gencrafnes Pfwm <br /> 8.Trrrttponer 1 Compm y Name U.S.EPA ID r;hurb. <br /> 7.Trenspaler2 Cortgwrty Narrw U.S.EPA ID Number <br /> S'Awod"b%AV� VS.FPA ID Nomber <br /> PCA W85 <br /> 707-432-4W <br /> FacilVa ffiane: <br /> 9.Waste$Nppxng Name and Dsw#on 10 � 11.Tetal 12 Unit <br /> No. Type Quar1tity wuvd. <br /> 1. iso E 5 SO1L)---- 1 DT 18 Y <br /> 2.m <br /> m <br /> 3. <br /> 19 Specl�Handing 104vivtiom arxi Ad lifiord Infornm9m <br /> 14.GW ERAT0WV0FHffiM-S CF1111FICATIOW I hereby dec=Dud the cw*mts of ibis attt 7wriatl are fully and aCaxelsly desvibed ebo"by the proper shipping name,ad are dass*Dd,packaged, <br /> marfaed and WWedV tcerded,and are rn sh respects to paper lxxxflbmlof parmpart awx ft to sppbmble i*m@WFW and nalieral <br /> GmcW&aK)ftm4 PrWadlTyp:d Name8kpratu,e • II hbrd, Day yer <br /> fbf- 1 <br /> 15 IrlmxtlOnn!Shlprrent5 El 1 d to U.S.mpo ❑Export from U.S. Port at arirykdt <br /> TreiaMerS'nature for evarts Dateledying U.S.: <br /> w 16 Tmmpom AcknowV ff;rw t:of ftearipl of Naterlsla <br /> gTraaspariar,PrfrbWrved Nanw ��r Month Day YBat <br /> Transpodcr 2 PdnWiyred Name VW*tum Month YOU <br /> 17.Dmmpa wy <br /> i 7a.Discrepancy Ird!mbon Spam ❑mrarmty ❑Type ❑l.4- ❑P.mw Ho tonFuG rr---�� Ae)ectl <br /> l�J on <br /> Mwiiest Flefuief=Number. <br /> I Tb,Ah mw Factity(df G9twwor) U.S.EPA ID Number <br /> Fadty'a Phone: <br /> 17c.Slgnafum of Altemele Fadlity(o(Gono dtor) .fMonth Day Tw <br /> 18.Das.g Ramd Facky Owwr or Operator Cerficafbn of rec*t of rnafud$=mad by the nanksZ cxce{finoiffim 17a <br /> Pr>ntadriyped Mama —-- 1 Month Day Year <br /> 1 <br /> 169-BLC-0 8 10498(Rev.sloe) DESIGNATED FACILITY TO GENERATOR <br />