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S <br /> 6. NON-HAZARDOUS MATERIALS HAULING MANIFEST <br /> NAME czc i a t p S LOT# ! <br /> ADDRESS PHONE NO (6 0 2) 352-6388 <br /> CITY, STATE,ZIP 8 5 0 31 <br /> G CONTAINERS No VOLUMi OS Qy d s 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 we-al 8500 pilev <br /> Av <br /> T Banzenm _" ✓ <br /> 0 <br /> PROPERTIES PH— SOLID—y-- LIQUID SLURRY OTHER <br /> HANDLING INSTRUCTIONS <br /> E O CER9'IFIES THIS WASTE AS DESCRIBED IS 100%NON-HAZARDOUS <br /> B DATE <br /> GNA RE bFRINT ORTYPE FULL NAME , <br /> H <br /> COMPANY NAME PHONE NO 707 374-2881 <br /> ' <br /> A ADDRESS- .P- a _ Box q _ SERVICE ORDER NO <br /> U CITY,STATE,ZiP�g 1,ny Y a _ g 4 71 <br /> E PICK UR DATE 7 1 91 <br /> �-- <br /> + ' TRUCK I-D, I'10 � ,� � .r �a ' �r� ,, <br /> E TRAILER ND EPA 6VO <br /> DRIVE DATE <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 /> M+Y 1991 I c m <br /> �� I •*oft <br />