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Q <br /> 6. NON-HAZARDOUS MATERIALS HAULING MANIFEST <br /> NAME -Z-VM­ Ag�n r-z a 1 Pte... d bO <br /> • LOT# <br /> ADDRESS PHONE NO (6 0 2 ) 352-6388 <br /> CITY,STATE,ZIP 85031 <br /> G CONTAINERS No VOLUM.ZOQQ dds 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 Dx.es.el 8500 01611 Toluene v <br /> A .G a s c i i ( xN� <br /> T TZQa.asn e - - ✓ ✓ <br /> O <br /> R PROPERTIES PH SOLID x LIQUID SLURRYOTHE <br /> . <br /> HANDLING INSTRUCTIONS <br /> i <br /> E O CERTIFIES THIS WASTE AS DESCRIBED IS 100%NON-HAZARDOUS <br /> "'""" �, DATE <br /> B <br /> iGNA RE PRINT OR' E FULL NAME <br /> H COMPANY NAME PHONE NO 707 374-2881 <br /> A ADDRESS. P_ n _ n SERVICE ORDER NO <br /> U CITY, STATE,ZIPS n- y i t a ,,- C a _ 94971 PICKUP DATE 7/1/91 <br /> L <br /> E TRUCK I D NO {r r- If TRAILER NO / EPA ID NO <br /> R DRIVER <br /> �� DATE–a—~' C <br /> SIG FRE r PRINT OR PELL NAME <br /> �Z <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 /> Puy 1991 p c m <br />