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NW41AZARODU9 I 1.Generates 10 Number 2.Page t of 9.Emergency Response Ptxxu3 4.Wraate Tracking Ramber <br /> WASTE MANIFEST CAC002957105 1 65D-331-8013 w1180fi1009- O <br /> s.Generator'a Name a w F&ft Addreao Genaremr'a 8tta Address(if dBf nmt Ihan malty o0mse) <br /> SillrlbAERlill.LAPARTMENT COIAML1NITE8. 1009 ROLUNS ROAD <br /> 3000 EXECI T PARKWAY,SUITE 450 B PIJNGAMr=,CA 94010 <br /> SAKI RAMON,CA 9d683 <br /> Genaraws Phxw <br /> e.Tromportor i CorponyNww r U.S.EPA ID Number <br /> 7.T—vaw 2 Company Name U.&EPA ID N m1w <br /> 11 De �� U.S.EPA ID Nhmbrh <br /> c�49d5HLLS LANE <br /> 707-4324W <br /> F Yl'hwro: <br /> 9.Waate SNpft Name and Deet Von 10.Coma[m 11.Total MUM <br /> No, Type oaeray WUVQL <br /> 1. N TES 2011) 1 DT 18 Y <br /> m <br /> W 2, <br /> t7 9. <br /> 4, <br /> 15.Stoic,PEILF 1Mdwokns 8-x$3 and AdMonal kdamedon <br /> 13LL TO: CATALYST ENVIROMMMAL <br /> 14,ME-RATOR'S0+6RORIS CER RCATION!I hereby dedara that the contenh of ane cnrl ivvnont ane 0*ad awtoly deantxd above by ft propu sbWV Trema,and ara aaeealed,psdmgW, <br /> marked and labdaM aided,and are in a➢m%wft m proper condhton tar hags d acmd g to applcebta cium2t W and naYaioi Em"alons, <br /> G >rD 3PtinledflypedName 33ynalura Month Dry Year <br /> is tnkvrrmonm sht mmh ❑Impod tD U.& C]Ef from U'& Port of <br /> Trwapmer§NMHN Dm.kovInd U.&: <br /> ar 1 a Trarrponar Adurowtad�rrPnt a Raoaalp+d►tadniela <br /> Trampong 2� d M a� <br /> V it <br /> ------ <br /> cc — <br /> Tronspnrtu 2 Pd Name - StgrnturoMwIto Day Year <br /> 17.Di oWicy <br /> 172 Dlanepam InaMbon spars ❑nuantdy ❑Types ❑Residue ❑Partw inn ❑F.9 Ref d. <br /> Manlhel RaTmarco Number. <br /> 17b.Atteff"FadUy(a Generota) U.S.EPA ID Number <br /> a Fac81y'a Phone: �f' <br /> 17c.Soakrre of Adom*F4V(o(Gorw*r) !%jyFl Month Day Year <br /> iS.Ddynrbd Fealty Omar a Oparalor:CxticWbn of racaipt of nrelariala covered by ora rnarnfest except 17a <br /> P&&Vyped Name SlgrWme Month Day You <br /> 16"LC-06 10498(Rev.9109) DESIGNATED FACILITY TO GENERATOR <br />