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6. NON-HAZARDOUS MATERIALS HAULING MANIFEST <br /> NAME -.IllM _ • LOT# y� <br /> ADDRESS PHONE NO (6 0 2 ) 352-6388 <br /> CITY, STATE,ZIP z 85031 <br /> G CONTAINERS No VOLUMZ800vdsWEIGHT-1200 tons <br /> E TYPE TANK DUMP DRUMS CARTONS- OTHER <br /> - <br /> N WASTE DESCRIPTION GENERATING PROCESS <br /> E COMPONENTS OF WASTE PPM COMPONENTS OF WASTE PPM <br /> R D,i.es.P, 8500 0164 uene <br /> A PLP-TJ) <br /> T '� <br /> san.z$ne <br /> O <br /> R <br /> PROPERTIES PH SOLID--Y- LIQUID SLURRY OTHER <br /> • - -- <br /> HANDLING INSTRUCTIONS <br /> x E0 CERTIFIES THIS WASTE AS DESCRIBED IS 100%NON-HAZARDOUS <br /> / B <br /> " DATE <br /> IGNA RE 6PRINT OR'tYPE FULL NAME , <br /> H COMPANY NAME PHONE NO 707 374-2881 <br /> A. ADDRESS v - n pax SERVICE ORDER NO <br /> U CITY, STATE,ZIP R tiony—.—�•:� C-a�4 5 7 K UP DATE 7(1/91 <br /> L Y i - f f f (-,; <br /> E TRUCK 1 D-NO _ TRAILER NO EPA ID NO <br /> R DRIVE m-c.. . �, t- •�� -�._ - DATE ► J ' I <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 /> jwuy 1991 p m <br />