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S <br /> • 6. NON-HAZARDOUS MATERIALS HAULING MANIFEST <br /> NAME LOT# 1 bO' <br /> ADDRESS PHONE NO (6 0 2 ) 352-6388 <br /> CITY,STATE,ZIP Phoenix-.- Az . . 85031 <br /> G CONTAINERS No VOLUMZB_ 0 vd s WEIGHT-1 2 0 0 tons <br /> E TYPE TANK DUMP DRUMS CARTONS OTHER ' <br /> N WASTE DESCRIPTION —and GENERATING PROCESS <br /> E COMPONENTS OF WASTE PPM COMPONENTS OF WASTE PPM <br /> R Qluene <br /> A np PLP—TJ) Xy I onv <br /> T �.z.e.r�.e <br /> O <br /> R PROPERTIES PH D_SOLILIQUID SLURRY OTHER <br /> HANDLING INSTRUCTIONS <br /> VIGNA <br /> O CEI--TIFIES THIS WASTE AS DESCRIBED 1S 100%NON-HAZARDOUS <br /> DATE ` <br /> RE PRINT OK E FULL NAME <br /> COMPANY NAIdE_Nazzan_Gamaz� PHONE NO 707 374-2881 <br /> H <br /> A ADDRESS 36-9 SERVICE ORDER NO <br /> U CITY.STATE,ZIP liy, i-_;, t 94 9 71 PICKUP DATE 7/1/91 <br /> , e <br /> E TRUCK ID NO,' €~ T - 'G ' RAILER NO <br /> EPA ID NO <br /> � DATE <br /> SIGNATU <br /> PRIM'OR E FULL NAME <br /> PROCES � OR : <br /> PORT COSTA MATERIALS, INC DISPOSAL METHOD-THER -AL 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 /> ��� •et#* <br />