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8 <br /> 6. NON-HAZARDOUS MATERIALS HAULING MANIFEST <br /> NAME J H...���I?.Cl�t e S LOT# I b0 <br /> ADDRESS PHONE NO (.§_02) 352-6388 <br /> CITY, STAT4 ZIP 85031 <br /> G CONTAINERS No VOLUM, QOYds WEIGHT--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 n, o�nt / 8500 at6jTol1jimnev <br /> T �.tiz.®.rse vEthyl z e ✓ <br /> O <br /> PROPERTIES pH SOLID-x LIQUID SLURRY OTHE <br /> R <br /> HANDLING INSTRUCTIONS <br /> E;AR. <br /> CERTIFIES THIS WASTE AS DESCRIBED IS 100%NON-HAZARDOUS l <br /> B DATE <br /> PRINT OR E FULL NAME , <br /> H COMPANY NAMEPHONE NO 707 374-2881 <br /> A ADDRESS P n SERVICE ORDER NO <br /> U CITY, STATE,ZIP_g;,n. v +.?i_ C� _ 4 4 5 71 PICK UP DATE 7 1 91 <br /> L <br /> E TRUCK LD NO r !- �� TRAILER NO # �a �' EPA ID NO <br /> R DRIVE '° - + r 'fi . f`' - Iu *rl f - <br /> DATE - <br /> SIGNATURE PRINT OR TYPE FULL NAME <br /> PROCESSOR : <br /> PORT COSTA MATERIALS, INC DISPOSAL METHOD-THERIM L 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 /> ,ABY 1"I P 0 M <br /> ___ too#$ <br />