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8 <br /> • 6. NON-HAZARDOUS MATERIALS HAULING MANIFEST <br /> NAME LOT# l b0 <br /> ADDRESS _ 9 6 nn I ww_ Moh a yp � PHONE NO (6 0 2 ) 352-6388 <br /> CITY, STATE,ZIP Rhoel3im, Az 85031 <br /> G CONTAINERS No VOLUMi MY-d s WEIGHT-12 0 0 tons <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 n t ase] 8500 aj, jt TolUene <br /> A 5'�- v <br /> T - R <br /> Pthy R ✓ <br /> O I� <br /> R D_ <br /> PROPERTIES pH SOLILIQUID SLURRY OTHER-_ <br /> HANDLING INSTRUCTIONS <br /> x !G;N <br /> O CEIMFIES THIS WASTE AS DESCRIBED 1S 100%NON-HAZARDOUS <br /> / ��� DATEA RE 6PRINT OR E FULL NAME <br /> H COMPANY NAME PHONE NO 707 374-2881 <br /> A ADDRESS P . 35g-- - SERVICE ORDER NO <br /> U CITY, STATE,ZIPT g1, v; .�t a n� , PICK UP DATE 7 1 91 <br /> L <br /> E TRUCK I D No TRAILER NO I t � �- `'! EPA ID NO <br /> R DRIVE LIZ- <br /> e_ <br /> SIGNATURLf PRINT OR TYPE FULL NAME DATE <br /> PROCESSOR : <br /> PORT COSTA MATERIALS, INC DISPOSAL METHOD-THERM_AL REMEDIATION <br /> 9000 CARQUINFZ SCENIC DRIVE <br /> PORT COSTA,CA 94569 PHONE (415) 602-1200 <br /> IF MOVEMENT BY OTHER THAN TRUCK,CALL FOR APPROPRIATE FORM <br /> ABY 1991p c m <br />