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8 <br /> • 6. NON-HAZARDOUS MATERIALS HAULING MANIFEST <br /> NAME <br /> LOT#.__ I bO ' <br /> ADDRESS 9601 WA PHONE NO (6 0 2 ) 352-6388 <br /> CITY, STATE,ZIP Phoenix, Az 85031 <br /> G CONTAINERS No_ VOLUME OH_ OvdsWEIGHT-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 8500 0161 <br /> A ��, _ �-b2+� PN� Xy I e n v <br /> T �u�ene ✓ <br /> O <br /> PROPERTIES pH SOLID_x LIQUID SLURRY OTHER <br /> HANDLING INSTRUCTIONS <br /> x E O CERTIFIES THIS WASTE AS DESCRIBED IS 100%NON-HAZARDOUS <br /> / B - <br /> �Q� DATE <br /> IGNA RE PRINT ORI)TE FULL NAME <br /> H COMPANY NAME PHONE NO 707 374-2881 <br /> A ADDRESS -iF g SERVICE ORDER NO <br /> U CITY, STATE,ZIP R.z,ny, (+a _ qd S 7 7 PICK UP DATE_7 1191 <br /> L <br /> E TRUCK 1 D NO-r, y �, TRAILER NO EPA ID NO k t <br /> R DRIVER, � '�' :-f_ DATE�`L�` a 1 <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 PHONE (415) 602-1200 <br /> IF MOVEMENT BY OTHER THAN TRUCK, CALL FOR APPROPRIATE FORM <br /> Air 1991 p c m <br /> www •#Hf <br />