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S <br /> 6. NON-HAZARDOUS MATERIALS HAULING MANILFEST <br /> NAME LOT# I bO <br /> ADDRESS -5601 w_ Mohave PHONE NO (602 ) 352-6388 <br /> CITY, STATE,ZIP Phoenix., Az 85031 <br /> G CONTAINERS. No VOLUME 0� OvdsWEIGHT-y1200 tans <br /> E TYPE- TANK.-- DUMP DRUMS CARTONS OTHER, <br /> - <br /> N WASTE DESCRIPTION GENERATING PROCESS <br /> E COMPONENTS OF WASTE PPM COMPONENTS OF WASTE PPM <br /> R ai.ecal 8500 0161 <br /> - _TQluene <br /> A �as.a.y n p �� -btz+� p �� Xvlpne <br /> v _ <br /> O <br /> R D <br /> PROPERTIES PH SOLI _ LIQUID SLURRY OTS <br /> HANDLING INSTRUCTIONS <br /> x E O CER-UFIES THIS WASTE AS DESCRIBED IS 100%NON-HAZARDOUS <br /> / B " '" DATE <br /> 1GNA RE PRINT OWTYPE FULL NAME <br /> COMPANY NAME PHONE NO 707 374-2881 <br /> H <br /> A ADDRESS '4r%q - SERVICE ORDER NO <br /> U CITY,STATE,ZIP�2n V i .�1� —94-971 PICKUP DATE 7/1/91 <br /> L <br /> E TRUCK I D NO ` ' , ? TRAILER NO `- ( `"�� EPA ID NO <br /> R DRIVER._ r,es..� DATE -7 - <br /> SIGNATURE <br /> 7 SIGNATURE PRINT OR TYP ULL 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 /> MAY 1991 i c M, <br />