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8 <br /> • b. NON-HAZARDOUS MATERIALS HAULING MANIFEST <br /> NAME LOT#, l bD , <br /> ADDRESS PHONE NO (602 ) 352-6388 <br /> CITY,STATE,ZIP 85031 <br /> G CONTAINERS No VOLUNC 0 ds WEIGHT-1200 tons <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 -ni =czp 8500 al4,t Toluene <br /> A �� c` -+� Pia NXyl Pnp <br /> T w <br /> O <br /> R PROPERTIES pH SOLID—Y--- LIQUID SLURRY OTHER___ <br /> HANDLING INSTRUCTIONS <br /> GENERATOR CERTIFIES THIS WASTE AS DESCRIBED 1S 100%NON-HAZARDOUS <br /> - DATE <br /> SIGNATURE <br /> PRINT OR TYPE FULL NAME <br /> H COMPANY NAME PHONE NO 707 374-2881 <br /> A ADDRESS_p_ CL acLx SERVICE ORDER NO <br /> U CITY,STATE,ZIP <br /> L 94971 PICK UP DAT-E_2/ <br /> - �. <br /> E TRUCK I D NO. r TRAILER NO J �a �4 EPA ID NO <br /> R <br /> DATE_f <br /> SIGNATURE PRINT OR TYPE FULL NAME <br /> PROCESSOR : <br /> PORT COSTA MATERIALS, INC DISPOSAL METHOD-THERIVAL 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 /> may 1"i P C M <br />