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8 <br /> • <br /> 6. NON-HAZARDOUS MATERIALS HAULING MANIFEST <br /> NAME <br /> LOT II, I bO ' <br /> ADDRESS PHONE NO (6 0 2 ) 352-6388 <br /> CITY, STATE,ZIP -Rho e13 i x, Az 85031 <br /> G CONTAINERS No VOLUME&AQZds WEIGHT -1200 ton s <br /> E TYPE TANK- DUMP DRUMS_ CARTONS_ OTHER_ _ <br /> N WASTE DESCRIPTION GENERATING PROCESS <br /> E COMPONENTS OF WASTE PPM COMPONENTS OF WASTE PPM <br /> R -njc2gal 8500 0161t Toluieng <br /> Ren Rnin ✓ <br /> O <br /> iR PROPERTIES PH SOLID-X--SOLID-X-- LIQUID SLURRY OTHER__ <br /> HANDLING INSTRUCTIONS <br /> GENERATOR CERTIFIES THIS WASTE AS DESCRIBED IS 100%NON-HAZARDOUS <br /> BY . , `, IN� `,f t f, �'` ' DATE i <br /> SIGNATURE PRINT OR TYPE FULL NAME <br /> H COMPANY NAME PHONE NO 707 374-2881 <br /> A ADDRESS_p- n Ba SERVICE ORDER NO <br /> U CITY, STATE,Z Q4571 PICK UP DATE 7 1 9 2 <br /> L <br /> E TRUCK I D NO I to_ _ TRAILER NO EPA ID NO <br /> ., <br /> R ' _ - i - <br /> DRIVE na.,. �y .d.,f , DATE L- ' <br /> SIGNATURE PRINT OR TYPE FULL NAME <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 /> r s�� <br /> p c m <br />