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air <br /> b. NON-HAZARDOUS MATERIALS HAULING MANIFEST <br /> NAME ►bo <br /> LOT#' <br /> ADDRESS PHONE NO (6 0 2 ) 352-6388 <br /> CITY,STATE,ZIP 8 5 4 31 <br /> G CONTAINERS No. VOLUMZ&DDyds WEIGHT-1200 tons <br /> E TYPE TANK DUMP ._ DRUMS <br /> CARTONS OTHER- -_— <br /> N WASTE DESCRIPTION <br /> GENERATING PROCESS <br /> E COMPONENTS OF WASTE PPM <br /> COMPONENTS OF WASTE pppy <br /> R n., 8500 0-v', <br /> v <br /> A 4-bXyleno <br /> Q'G P v <br /> T Le <br /> O <br /> PROPERTIES PH - SOLID-X—— LIQUID SLURRY <br /> R _ OTHER-. <br /> . HANDLING INSTRUCTIONS - <br /> xE O CERTIFIES THIS WASTE AS DESCRIBED IS 100%NON-HAZARDOUS <br /> B <br /> GNA REAlLccu ' DATE <br /> PRINT OR E FULL NAME <br /> COMPANY NAME <br /> H PHONE NO 707 3 7 4-2 8$1 <br /> IFq <br /> A ADDRESS SERVICE ORDER NO <br /> U CITY.STATE,ZIP PICK UP DATE <br /> L # - _ <br /> TRUCK I D NO f 1Li <br /> E TRAILER NO EPA ID NO <br /> R DRIVE -7 - C - l _ <br /> SIGNATUREDATE <br /> 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 /> )&y 1991p m <br />