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Q <br /> 6. NON-HAZARDOUS MATERIALS HAULING MANIFEST <br /> NAME A LOT#< I b0 <br /> ADDRESS 9601 W. v p PHONE NO (.602 ) 352-6388 <br /> CITY. STATE.ZIP PhneLi .K�...Az 85031 <br /> w <br /> G CONTAINERS No VOLUMi.$20 yd s WEIGHT-1200 ton s <br /> E TYPE TANK - DUW_ DRUMS CARTONS <br /> OTHER <br /> N WASTE DESCRIPTION GENERATING PROCESS <br /> E COMPONENTS OF WASTE PPM COMPONENTS OF WASTE PPM <br /> R L.,, 8500 al4i <br /> A � 1-� PLP'-N) <br /> T $aA..z.e n.eEthyl Rpn7pn <br /> O <br /> PROPERTIES PH SOLID-X- LIQUIp SLURRY• OTHE� R <br /> HANDLING INSTRUCTIONS <br /> x GENERATOR,CERTIFIES THIS WASTE AS DESCRIBED IS 100%NON-HAZARDOUS <br /> -1 DATE r 1 s <br /> SIGNATURE - PRINT OR'TYPE FULL NAME <br /> H t <br /> COMPANY NAME PHONE NO 7 0 7 3 7 4--2 8 81 <br /> A ADDRESSq SERVICE ORDER NO <br /> U CITY,STATE,Z1P_._ Rijn V � � (�a 94571 PICK UP DATE 7 1 91 <br /> E TRUCK I D NO TRAILER NO i ~- t-- <br /> - - EPA ID NO <br /> R DRIVE <br /> SIGNATURE <br /> '"'� DATE I <br /> f,/ PRINT OR TYPE <br /> PROCESSOR : <br /> PORT COSTA MATERIALS, INC DISPOSAL METHOD-THERMAL REMEDIATION <br /> 9000 CARQUINEZ SCENIC DRIVE <br /> PORT COSTA,CA 94569 PHONE (415)602-1200 <br /> IF MOVEMENT BY OTHER THAN TRUCK,CALL FOR APPROPRIATE FORM <br /> 14ay 1991 <br /> ��� fee of <br />