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8 <br /> 6. NON-HAZARDOUS MATERIALS HAULING MANIFEST <br /> NAME —Tym A c s n r LOT a te•, l bQ <br /> • #� <br /> ADDRESS -SF;n 1 W. Mnb a vP - _ PHONE NO (6 0 2) 352-6388 <br /> CITY, STATE,ZIP _J2hoeja:Lx-.--Kz 85031 <br /> G CONTAINERS No VOLUMZ880�sWEIGHT-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 /> Rn-Incal8500 0161� <br /> T -- Ethyl Penzpnt- <br /> _ ✓ <br /> O <br /> R <br /> PROPERTIES PH SOLID_g_ LIQUID SLURRY OTHER <br /> --- <br /> • <br /> HANDLING INSTRUCTIONS <br /> E O CER=PIFIES THIS WASTE AS DESCRIBED 1S 100%NON-HAZARDOUS <br /> B <br /> �0 — DATE L �, <br /> iGNA RE PRINT O- E FULL NAME <br /> H COMPANY NAME PHONE NO 707 374-2881 <br /> A ADDRESS 0 R^ SERVICE ORDER NO <br /> U CITY,STATE,ZIP_g Z�y c i.a r a 9497.1 PICK UP DATE 7 1 9 1 <br /> L , <br /> TRUCK I D N(� `-' TRAILER NO u ` l =-is <br /> E ,,., EPA ID NO <br /> DRIVE r } "r ► DATE_ _- r! <br /> $rIGNATURE 1 r PRINT OR TYPE LL NAME <br /> PROCESSOR : <br /> PORT COSTA MATERIALS, INC DISPOSAL METHOD-THEIW-AL REMEDIATION <br /> . 9000 CARQ(JRIIEZ SCENIC DRIVE <br /> PORT COSTA,CA 94569 PHONE (415)602-1200 <br /> IF MOVEMENT BY OTHER THAN TRUCK, CALL FOR APPROPRIATE FORM <br /> MAY 1991 p c ilk <br /> >A�� *sees <br />