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8 <br /> 6. NON-HAZARDOUS MATERIALS HAULING MANIFEST <br /> NAME JIM A LOT# 1 bo <br /> ADDRESS PHONE NO (6 0 2 ) 352-6388 <br /> CI'T`Y, STATE,ZIP 85031 <br /> G CONTAINERS No VOLUM.Z1 QY—d s WEIGHT-12 0 0 tons <br /> E TYPE TANK DUMP DRUMS CARTONS OTHER <br /> N WASTE DESCRIPTION qGENERATING PROCESS <br /> E COMPONENTS OF WASTE PPM COMPONENTS OF WASTE PPM <br /> R .sal .. 8500 0141 uenev <br /> T •' <br /> nt <br /> O <br /> R SOLIDI–y--pH SOLILIQUID SLURR`l OTHER <br /> . <br /> HANDLING INSTRUCTIONS <br /> E O CERTIFIES THIS WASTE AS DESCRIBED 1S 100% NON-HAZARDOUS <br /> BI DATE <br /> IGNA RE PRINT OR E FULL NAME , <br /> H COMPANY NAME PHONE NO 7 0 7 374-2881 <br /> A ADDRESS – - SERVICE ORDER NO <br /> U CITY, STATE,ZIP�; n V �i�C�Q4=;'71 PICKUP DATE 7(1 91 <br /> L ,. - <br /> TRUCK I D NO li 6 1 4 <br /> TRAILER NO <br /> E EPA 1D NO <br /> DATE <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 r PHONE (415) 602-1200 <br /> IF MOVEMENT BY OTHER THAN TRUCK,CALL FOR APPROPRIATE FORM <br /> flay 1991 <br /> p c rrwrr •���• <br />